Organization
VALLEY ORTHOPAEDIC GROUP, LTD.
Active
Organization
VALLEY ORTHOPAEDIC GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN R BAIR M.D. (PRESIDENT)
(602) 258-8029
Entity
Organization
Contact information
Practice address
1300 N 12TH ST, SUITE 500, PHOENIX, AZ 85006-2848
(602) 258-8029
(602) 252-9081
Mailing address
1300 N 12TH ST, SUITE 500, PHOENIX, AZ 85006-2848
(602) 258-8029
(602) 252-9081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204488
—
AZ
01
—
ZWCLBX
MEDICARE GROUP NUMBER
AZ
Enumeration date
09/18/2007
Last updated
09/18/2007
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