Organization
PREMIER ORTHOPEDIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRANDY K BARROW (TRANSACTION POSTER)
(214) 396-3936
Entity
Organization
Contact information
Practice address
2557 S VAL VISTA DR, STE. 103, GILBERT, AZ 85295-6229
(214) 396-3936
(888) 624-8659
Mailing address
PO BOX 674074, DALLAS, TX 75267-4074
(214) 396-3936
(888) 624-8659
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
41364
AZ
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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