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Organization

ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

Active
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Organization

ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Other names
OSNA - Desert Orthopedic Specialsits- Martin
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Authorized official
DR. PAUL BARNES PH.D (CHIEF EXECUTIVE OFFICER)
(602) 772-3800
Entity
Organization

Contact information

Practice address
18555 N 79TH AVE STE E101, GLENDALE, AZ 85308-8392
(602) 631-3161
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(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
RR PTAN
AZ
Enumeration date
02/20/2010
Last updated
08/21/2019
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