Organization
EDWARD P FINK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD P FINK M.D. (CEO)
(703) 573-2218
Entity
Organization
Contact information
Practice address
5310 W THUNDERBIRD RD, STE 110, GLENDALE, AZ 85306-4706
(602) 865-4011
(480) 412-7475
Mailing address
5310 W THUNDERBIRD RD, STE 110, GLENDALE, AZ 85306-4706
(602) 865-4011
(480) 412-7475
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46045
—
AZ
Enumeration date
01/19/2011
Last updated
09/06/2012
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