Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

White Mountain Foot and Ankle Care Center PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1508058249

White Mountain Foot and Ankle Care Center PLLC is a Foot & Ankle Surgery Podiatrist in Lakeside, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5448 White Mountain Blvd Ste 270
Lakeside, AZ 85929-5739
Phone: (928) 532-1122
Fax: (928) 532-1124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 640 (AZ)

Record details

NPI number1508058249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official H Ryan Hall — President · (928) 367-3701
NPI enumeratedAugust 16, 2007
Last updated in NPPESDecember 12, 2008
Mailing addressPo Box 39, Overgaard, AZ 85933-0039

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