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Organization

ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Other names
OSNA - AOSA
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Authorized official
JOHN KINNA (CEO)
(602) 772-3790
Entity
Organization

Contact information

Practice address
20325 N 51ST AVE, SUITE 124, GLENDALE, AZ 85308-5674
(602) 795-6300
(623) 414-3311
Mailing address
PO BOX 271429, SALT LAKE CITY, UT 84127-1429
(602) 772-3800

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
6419820015
MEDICARE DME
AZ
01
DQ4501
RAILROAD MEDICARE
AZ
Enumeration date
03/03/2010
Last updated
02/09/2017
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