# OSNA PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OSNA PRIMARY CARE, LLC
- **Other names:** Mezona Orthopaedic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063855088
- **Legal business name:** OSNA PRIMARY CARE, LLC
- **Authorized official:** JOHN KINNA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (602) 772-3800

## Contact information

- **Practice address:** 2940 E BANNER GATEWAY DR, STE 200, GILBERT, AZ 85234-2171
- **Practice address phone:** (480) 964-2908
- **Practice address fax:** (480) 833-2136
- **Mailing address:** PO BOX 271429, SALT LAKE CITY, UT 84127-1429
- **Mailing address phone:** (602) 772-3800
- **Mailing address fax:** (602) 772-3801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 04/09/2013
- **Last updated:** 02/21/2017