Organization
AZ ORTHO & JNT REPLACE CNTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J BERGHAUSEN MD (PRESIDENT)
(520) 881-2600
Entity
Organization
Contact information
Practice address
630 N ALVERNON WAY STE 161, TUCSON, AZ 85711-1895
(520) 881-2600
(520) 881-2844
Mailing address
1951 N WILMOT RD, BLDG 2, TUCSON, AZ 85712-8000
(520) 881-2600
(520) 881-2844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30321
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
694902
—
AZ
Enumeration date
12/20/2006
Last updated
09/15/2008
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