# TRAUMA & RECONSTRUCTIVE UPPER EXTREMITY SPECIALISTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235501370
- **Authorized official:** MS. KATHERINE C WHITE CPA (CPA AGENT)
- **Authorized official phone:** (602) 222-5611

## Contact information

- **Practice address:** 370 E VIRGINIA AVE STE 100, PHOENIX, AZ 85004-1254
- **Practice address phone:** (602) 222-5611
- **Mailing address:** 370 E VIRGINIA AVE STE 100, PHOENIX, AZ 85004-1254
- **Mailing address phone:** (602) 222-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 28314 | AZ | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 28314 | AZ | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | 28314 | AZ | — |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 12/28/2015