| NPI | 1689283970 |
|---|---|
| Doing Business As | ORTHOARIZONA CHANDLER ICE DEN |
| Doing Business As | ORTHOARIZONA |
| Entity Type | Organization |
| Authorized Contact | CREDENTIALING MANAGER Credentialing Manager 602-385-2115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2025-02-24 |