Organization
FIKES ORTHOPEDIC SPECIALTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE S. FIKES RN (TREASURER)
(480) 981-7393
Entity
Organization
Contact information
Practice address
715 WHITE SPAR RD, PRESCOTT, AZ 86303-4631
(928) 227-2621
(928) 227-3084
Mailing address
6343 E MAIN ST STE B1, MESA, AZ 85205-8972
(480) 981-7393
(480) 981-5807
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153543
RURAL ARIZONA NETWORK
AZ
01
—
197436500
AZ US DEPT OF LABOR
AZ
01
—
1Z7008
HEALTH NET
AZ
05
—
511685
—
AZ
01
—
AZ0277820
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
11/28/2006
Last updated
01/19/2022
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