Organization
SIERRA ORTHOPEDICS, PC
Active
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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