Organization
ARIZONA ORTHOPEDIC FIRST ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ROOT PA-C (OWNER)
(717) 654-0384
Entity
Organization
Contact information
Practice address
9003 E SHEA BLVD, SCOTTSDALE, AZ 85260-6709
(480) 323-3000
Mailing address
25408 S 197TH ST, QUEEN CREEK, AZ 85142-8992
(717) 654-0384
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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