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Organization
DESERT BONE & JOINT SPECIALISTS LLP
Active
Organization
DESERT BONE & JOINT SPECIALISTS LLP
Active
Other names
Desert Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
KACI WILLIAMS (AUTHORIZED OFFICIAL)
(541) 388-2333
Entity
Organization
Contact information
Practice address
1303 NE CUSHING DR STE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 388-0930
Mailing address
1303 NE CUSHING DR STE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 388-0930
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158800001
DME
OR
01
—
1457851586
NPI
OR
05
—
149991
—
OR
01
—
1518468644
NPI
OR
01
—
192931300
OWCP
OR
Enumeration date
03/01/2007
Last updated
08/29/2018
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