Organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Other names
OSNA- AHW-Gilbert
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
2940 E BANNER GATEWAY DR, SUITE 350, GILBERT, AZ 85234-2168
(602) 393-1010
(602) 393-1011
Mailing address
PO BOX 271429, SALT LAKE CITY, UT 84127-1429
(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
RR PTAN
AZ
Enumeration date
01/24/2017
Last updated
01/24/2017
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