Organization
PHOENIX ORTHOPEDIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE D CAMPBELL (BILLING MANAGER)
(602) 277-1558
Entity
Organization
Contact information
Practice address
9941 N 95TH ST, SUITE 101, SCOTTSDALE, AZ 85258-4609
(602) 277-1558
(602) 266-6991
Mailing address
9941 N 95TH ST, SUITE 101, SCOTTSDALE, AZ 85258-4609
(602) 277-1558
(602) 266-6991
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24451
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZWCLDH
PTAN
AZ
Enumeration date
06/13/2016
Last updated
06/13/2016
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