OrganizationActive
East Valley Footcare PLLC
NPI 1184737546 · Podiatrist · Mesa, AZ
Provider details
- NPI number
- 1184737546
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Charles Connell, President(480) 357-4400
- License
- 322 (AZ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
6104 E Brown Rd
Suite 102
Mesa, AZ 85205-4953
Phone: (480) 357-4400
Fax: (480) 807-0800
Approximate (ZIP-level) locationGet directions
Mailing address
6104 E Brown Rd
Mesa, AZ 85205-4953
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2013-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.