| Organization Name: | DONALD E. CHUDY, DPM, PC |
| NPI Number: | 1013104843 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN L CHUDY (OFFICE SUPERVISOR) |
| Mailing Address: | 4824 E Baseline Rd Suite 107 Mesa |
| State: | AZ US |
| Postal Code: | 852064676 |
| Phone Number: | 4809641715 |
| Fax Number: | 4808345525 |
| NPI Enumeration Date: | 09/25/2007 |
| NPI Last Update Date: | 08/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 0202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |