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Organization

OSNA PRIMARY CARE, LLC

Active
Parent organization
OSNA PRIMARY CARE, LLC
Other names
Mezona Orthopaedic
Organization subpart
Yes

Provider details

NPI number
Legal business name
OSNA PRIMARY CARE, LLC
Authorized official
JOHN KINNA (CHIEF EXECUTIVE OFFICER)
(602) 772-3800
Entity
Organization

Contact information

Practice address
2940 E BANNER GATEWAY DR, STE 200, GILBERT, AZ 85234-2171
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 271429, SALT LAKE CITY, UT 84127-1429
(602) 772-3800
(602) 772-3801

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QS0010X
Sports Medicine (Family Medicine) Physician

Other

Enumeration date
04/09/2013
Last updated
02/21/2017
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