Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 0421 | AZ |
Y | 213ES0103X | Foot & Ankle Surgery | 0421 | AZ |
N | 213ES0131X | Foot Surgery | 0421 | AZ |
NPI | 1578778213 |
---|---|
Provider Name | Dr. Albert E Eulano |
First Address | Scottsdale, AZ 85255-5441 |
Second Address | Scottsdale, AZ 85255-5441 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 28/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4707480001 | DME (01) | AZ |
AZ0193820 | BLUECROSSBLUESHIELD (01) | AZ |
P00026267 | RAILROAD MEDICARE (01) | AZ |
U50544 | (02) | AZ |