Search › Arizona › 213ES0103X
Blake Wallace, DPM
NPI 1083216949 · on the registry since 2020 · sole proprietor
Practice
- Address
- 15601 N 28th Ave Ste 102
Phoenix, AZ 85053 - Phone
- (480) 844-8218
- Organisation at this address
- Desert Foot & Ankle P C
Valley Surgical Center Llc
Salt River Surgical Center Llc
Phoenix Orthopaedic Surgeons, Ltd
Lake Pleasant Surgical Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 3100 Telegraph Ave, Oakland, CA
- 8414 Naab Rd Ste 215, Indianapolis, IN
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona