Palacios, Isaac

Palacios, Isaac is an individual health care provider with primary practice located at 167 North Main Street , Tuba City AZ 86045-0600. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Palacios, Isaac can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 North Main Street Tuba City AZ 86045-0600
Phone: (928) 283-2501
Fax: (928) 283-2677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0803 Arizona

Profile Details

NPI number 1164817425
LBN Legal business name Palacios, Isaac
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2015
Last updated Apr 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164817425 NPPES
Arizona MEDICAID 97449

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