NPI | 1164031456 |
---|---|
Doing Business As | ORTHOARIZONA |
Entity Type | Organization |
Authorized Contact | DAWN MARIE WELLS Credentialing Manager 602-385-2115 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-07-27 |