Organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Other names
OSNA -ASMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Authorized official
MR. JOHN KINNA (CHIEF EXECUTIVE OFFICER)
(602) 772-3790
Entity
Organization
Contact information
Practice address
8630 E VIA DE VENTURA, STE 201, SCOTTSDALE, AZ 85258-3358
(480) 558-3744
(480) 558-3801
Mailing address
PO BOX 271429, SALT LAKE CITY, UT 84127-1429
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
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
05/31/2012
Last updated
02/09/2017
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