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Organization

ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC

Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Other names
OrthoArizona
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Authorized official
DAWN MARIE WELLS (CREDENTIALING MANAGER)
(602) 385-2115
Entity
Organization

Contact information

Practice address
30845 N CAVE CREEK RD STE 101, CAVE CREEK, AZ 85331-2916
(480) 342-9547
(480) 342-9548
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 422-6551

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
225100000X
Physical Therapist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/20/2020
Last updated
07/24/2020
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