Organization
ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC
Active
Organization
ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC
Active
Other names
Arizona Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
750 N 40TH ST, PHOENIX, AZ 85008-6486
(602) 797-7700
(602) 797-7979
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(972) 763-3859
(480) 603-9107
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
284300000X
Special Hospital
Primary
SH3571
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882747
—
AZ
Enumeration date
02/21/2007
Last updated
10/14/2024
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