Organization
THE CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION, INC.
Active
Other names
The CORE Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. JACOFSKY M.D (PRESIDENT)
(623) 537-5600
Entity
Organization
Contact information
Practice address
1001 DIVISION ST, PRESCOTT, AZ 86301-1618
(928) 776-0137
Mailing address
3010 W AGUA FRIA FWY, SUITE 100, PHOENIX, AZ 85027-3943
(623) 537-5600
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
33149
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341246
—
AZ
01
—
DD0900
RR MEDICARE
AZ
Enumeration date
12/02/2010
Last updated
12/02/2010
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