Organization
ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MANKIN (ADMINISTRATOR)
(602) 510-3203
Entity
Organization
Contact information
Practice address
610 E BASELINE RD STE 103, TEMPE, AZ 85283-1204
(480) 778-1400
(602) 297-6997
Mailing address
610 E BASELINE RD STE 103, TEMPE, AZ 85283-1204
(480) 778-1400
(602) 297-6997
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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