Organization
ORTHOPAEDIC TRAUMA ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A BERGHOFF M.D. (MEDICAL DIRECTOR)
(602) 256-7409
Entity
Organization
Contact information
Practice address
690 N COFCO CENTER CT, SUITE 290, PHOENIX, AZ 85008-6474
(602) 256-7409
(602) 258-5477
Mailing address
690 N COFCO CENTER CT, SUITE 290, PHOENIX, AZ 85008-6474
(602) 256-7409
(602) 258-5477
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
22789
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450990
—
AL
Enumeration date
07/08/2006
Last updated
08/22/2020
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