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Organization

AZ ORTHOPEDICS LLC

Active
Parent organization
AZ ORTHOPEDICS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AZ ORTHOPEDICS LLC
Authorized official
TIMOTHY SEAN KAVANAUGH (OWNER MD)
(907) 351-7502
Entity
Organization

Contact information

Practice address
13660 N 94TH DR STE C4, PEORIA, AZ 85381-4841
(480) 697-4824
Mailing address
PO BOX 33727, BELFAST, ME 04915-0615
(480) 697-4824

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
213E00000X
Podiatrist
363A00000X
Physician Assistant

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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