Edward L Wiebe DPM PC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Flagstaff, AZ
NPI 1598048837 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1598048837
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 0076 (AZ)
- Legal business name
- EDWARD L WIEBE DPM PC
- Practice address
- 8 W Columbus Ave
Flagstaff, AZ 86001-3202 - Phone
- (928) 226-7555
- Fax
- (928) 226-0014
- NPI assigned
- Sep 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Edward L Wiebe, DPM
- Title
- President
- Phone
- (928) 226-7555
National Provider Directory
Locations
8 W Columbus Ave
Flagstaff, AZ 86001
Phone (928) 226-7555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 0076 | AZ | Yes |
Addresses
Primary practice location
8 W Columbus Ave
Flagstaff, AZ 86001-3202
Mailing address
8 W Columbus Ave
Flagstaff, AZ 86001-3202
Phone (928) 226-7555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2Z6682 | Other | AZ | HEALTHNET |
| 480627039 | Other | AZ | RAILROAD MEDICARE |
Other providers in Flagstaff, AZ
- Cheryl L Eccleston
- Rachelle Dana Eddie
- Regina Stephanie Eddie
- Glenn Edgerton
- Sarah A. Edmonds
- Brooke Edwards
- Kyle Collingwood Edwards
- Michael Edwards
- Patricia Lucene Edwards
- Tonya Ivanov Edwards
All providers in Flagstaff, AZ · Foot & Ankle Surgery Podiatrist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.