IndividualActive
Annie Jong, DPM
NPI 1689939985 · Foot & Ankle Surgery Podiatrist · Phoenix, AZ
Provider details
- NPI number
- 1689939985
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- 0000 (AZ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
Fax: (623) 933-4677
Approximate (ZIP-level) locationGet directions
Mailing address
13660 N 94th Dr Ste A3
Peoria, AZ 85381-4836
Registry dates
- Enumerated
- 2012-07-12
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.