Organization
GREATER PHOENIX ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MARIE GILLELAND (MANAGER)
(623) 208-7979
Entity
Organization
Contact information
Practice address
20401 N 73RD ST, SUITE 155, SCOTTSDALE, AZ 85255-4107
(800) 483-0726
(800) 483-0729
Mailing address
20401 N 73RD ST STE 160, SCOTTSDALE, AZ 85255-4149
(800) 483-0726
(800) 483-0729
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
34339
AZ
Other
Enumeration date
03/14/2016
Last updated
12/27/2022
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