Organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Other names
OSNA- SVOS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Authorized official
DR. PAUL BARNES PH.D (CHIEF EXECUTIVE OFFICER)
(602) 772-3800
Entity
Organization
Contact information
Practice address
12361 W BOLA DR, STE 100, SURPRISE, AZ 85378-9021
(623) 584-5626
(623) 972-0373
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
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
—
DQ4501
RAILROAD MEDICARE PTAN
AZ
Enumeration date
04/30/2012
Last updated
08/06/2012
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