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Organization

OSNA PLLC

Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA
Other names
OrthoArizona
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA
Authorized official
MELISSA A ENGLERT (CREDENTIALING COORDINATOR)
(602) 385-2115
Entity
Organization

Contact information

Practice address
8630 E VIA DE VENTURA, SUITE 201, SCOTTSDALE, AZ 85258-3358
(480) 558-3744
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6419820023
NATIONAL SUPPLIER CLEARING HOUSE
AZ
05
715535
AZ
01
DQ4501
RAILROAD MEDICARE PTAN
AZ
Enumeration date
03/03/2010
Last updated
01/04/2019
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