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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