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Organization

SIERRA ORTHOPEDICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARTHA A MORENO (MANAGER)
(520) 836-8988
Entity
Organization

Contact information

Practice address
1780 E FLORENCE BLVD STE 106, CASA GRANDE, AZ 85122-4782
(520) 836-8988
(520) 836-7930
Mailing address
1780 E FLORENCE BLVD STE 106, CASA GRANDE, AZ 85122-4782
(520) 836-8988
(520) 836-7930

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801808746
GROUP NPI
01
200014460
RR MCR ID #
01
200018015
RR MCR ID
01
DB7999
RR MCR GROUP #
Enumeration date
08/12/2006
Last updated
10/15/2012
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