Organization
THE ORTHOPEDIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2222 E HIGHLAND AVE, #300, PHOENIX, AZ 85016-4872
(602) 512-8558
(866) 242-5309
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26274
—
AZ
Enumeration date
08/23/2007
Last updated
01/13/2022
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