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Organization
FLYING PIG OFFROAD PLLC
Active
Organization
FLYING PIG OFFROAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORA MCCLARY MD (OWNER)
(480) 707-9504
Entity
Organization
Contact information
Practice address
20333 N 19TH AVE STE 230, PHOENIX, AZ 85027-9901
(480) 707-9504
(602) 581-7764
Mailing address
PO BOX 10356, GLENDALE, AZ 85318-0356
(480) 707-9504
(602) 581-7764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
01/05/2025
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