Organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Other names
OSNA - Arizona Orthopaedic Associates Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Authorized official
MISS MELISSA ENGLERT (CREDENTIALING)
(602) 772-3800
Entity
Organization
Contact information
Practice address
18555 N 79TH AVE STE E101, GLENDALE, AZ 85308-8392
(602) 631-3161
(602) 631-3162
Mailing address
PO BOX 271429, SALT LAKE CITY, UT 84127-1429
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ4501
RAILROAD MEDICARE PTAN
AZ
Enumeration date
03/03/2010
Last updated
02/18/2019
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