Basic Information
| Provider Information | |||||||||
| NPI: | 1609818095 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PFITZER | ||||||||
| FirstName: | TAWNYA | ||||||||
| MiddleName: | SUZANNE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13065 W MCDOWELL RD | ||||||||
| Address2: | SUITE A-103 | ||||||||
| City: | AVONDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853236439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6235472800 | ||||||||
| FaxNumber: | 6235473083 | ||||||||
| Practice Location | |||||||||
| Address1: | 13065 W MCDOWELL RD | ||||||||
| Address2: | SUITE A-103 | ||||||||
| City: | AVONDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853236439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6235472800 | ||||||||
| FaxNumber: | 6235473083 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 02/08/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 580 | AZ | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.