| NPI | 1013448083 |
|---|---|
| Doing Business As | OTHOARIZONA |
| Entity Type | Organization |
| Authorized Contact | DAWN M WELLS Credentialing Supervisor 602-385-2115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2019-09-26 |