SearchArizonaFoot & Ankle Surgery Podiatrist

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 Llc
Inferred 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
Foot & Ankle Surgery Podiatrist
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