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Organization

ADVANCED ORTHOPEDICS, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL JOSEPH MULLEN M.D. (PHYSICIAN / OWNER)
(480) 861-7913
Entity
Organization

Contact information

Practice address
4852 E BASELINE RD, SUITE 107, MESA, AZ 85206-4627
(480) 834-7000
(480) 834-7002
Mailing address
4852 E BASELINE RD, SUITE 107, MESA, AZ 85206-4627
(480) 834-7000
(480) 834-7002

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
30294
AZ

Other

Enumeration date
05/15/2012
Last updated
09/21/2012
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