Organization
GOUGH HIP AND KNEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CANNATTA (DIRECTOR OF OPERATIONS)
(602) 359-3174
Entity
Organization
Contact information
Practice address
8575 E PRINCESS DR STE A-210, SCOTTSDALE, AZ 85255-5483
(602) 359-3088
Mailing address
PO BOX 41340, PHOENIX, AZ 85080-1340
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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