# FLYING PIG OFFROAD PLLC

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

## Provider details

- **NPI number:** 1609518976
- **Authorized official:** DR. DEBORA MCCLARY MD (OWNER)
- **Authorized official phone:** (480) 707-9504

## Contact information

- **Practice address:** 20333 N 19TH AVE STE 230, PHOENIX, AZ 85027-9901
- **Practice address phone:** (480) 707-9504
- **Practice address fax:** (602) 581-7764
- **Mailing address:** PO BOX 10356, GLENDALE, AZ 85318-0356
- **Mailing address phone:** (480) 707-9504
- **Mailing address fax:** (602) 581-7764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2022
- **Last updated:** 01/05/2025