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Organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Active
Organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Other names
OrthoArizona Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Authorized official
DR. PAUL BARNES PH.D (CHIEF EXECUTIVE OFFICER)
(602) 772-3800
Entity
Organization
Contact information
Practice address
11013 N SCOTTSDALE RD, STE 150, SCOTTSDALE, AZ 85254-5243
(602) 772-3800
(602) 772-3801
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
50782-01
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ4501
RAILROAD MEDICARE PTAN
AZ
Enumeration date
10/08/2012
Last updated
06/27/2013
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