Organization
ORTHOPEDIC SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BOXALL M.D. (VICE PRESIDENT)
(952) 915-8300
Entity
Organization
Contact information
Practice address
6600 FRANCE AVE S STE 605, EDINA, MN 55435-1807
(952) 920-4333
(952) 920-2561
Mailing address
6600 FRANCE AVE S STE 605, EDINA, MN 55435-1807
(952) 920-4333
(952) 920-2561
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
462
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06226OR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/09/2006
Last updated
08/22/2020
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