Craig Kenyon Udall is a Goodyear, Arizona based male podiatrist who is specialized in Podiatry. Active license number of Craig Kenyon Udall for Podiatric Foot & Ankle Surgery is 0859 in Arizona. Craig Kenyon Udall is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Craig Kenyon Udall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
14539 W Indian School Rd Ste 880, Goodyear, Arizona, 85395-9279
Phone:
623-248-4734
Fax:
623-259-7006
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1396180477
NPI Enumeration Date:
02 May, 2013
NPI Last Update On:
04 Jun, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Craig Kenyon Udall are as mentioned below.
License Number
Specialization
State
Status
0859
Podiatric Foot & Ankle Surgery
Arizona
Primary
0859
Podiatry
Arizona
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Craig Kenyon Udall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8154560001
Other
MEDICARE DME
Z274188
Other
Arizona
MEDICARE PTAN
270291
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
14539 W Indian School Rd Ste 880, Goodyear, Arizona
Zip:
85395-9279
Phone Number:
623-248-4734
Fax Number:
623-259-7006
Patients can reach Craig Kenyon Udall at 14539 W Indian School Rd Ste 880, Goodyear, Arizona or can call to book an appointment on 623-248-4734. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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