Dr. Phetsamone Peter Xaysanasy is a Fayetteville, Arkansas based male podiatrist who is specialized in Podiatry. Active license number of Dr. Phetsamone Peter Xaysanasy for Podiatry is 193 in Arkansas. Dr. Phetsamone Peter Xaysanasy 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:
Dr. Phetsamone Peter Xaysanasy 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:
D.P.M.
Gender:
Male
Practice Address:
125 W Sunbridge Dr, Suite 1, Fayetteville, Arkansas, 72703-1899
Phone:
479-251-9200
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:
1063456184
NPI Enumeration Date:
16 Jun, 2006
NPI Last Update On:
03 Jan, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Phetsamone Peter Xaysanasy are as mentioned below.
License Number
Specialization
State
Status
193
Podiatry
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Phetsamone Peter Xaysanasy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
14086717
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
125 W Sunbridge Dr, Suite 1 Fayetteville, Arkansas
Zip:
72703-1899
Phone Number:
479-251-9200
Fax Number:
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Patients can reach Dr. Phetsamone Peter Xaysanasy at 125 W Sunbridge Dr, Suite 1, Fayetteville, Arkansas or can call to book an appointment on 479-251-9200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Dr. Daniel C Fulmer, DPM Speciality: Podiatrist - Foot & Ankle Surgery Address: 2828 E Millennium Pl, Suite 2, AR Phone: 479-582-1199 Fax: 479-582-1194
Dr. Sara Mccoy, DPM Speciality: Podiatrist - Foot Surgery Address: 1100 N College Ave, AR Phone: 479-443-4301