Individual
THEODORE PHILLIP FIRESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20401 N 73RD ST, STE 160, SCOTTSDALE, AZ 85255
(480) 237-5727
(480) 657-3207
Mailing address
20401 N 73RD ST, SUITE 160, SCOTTSDALE, AZ 85255
(480) 237-5727
(480) 657-3207
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
19529
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296352
—
AZ
Enumeration date
01/17/2006
Last updated
10/28/2013
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