Organization
GRANITE ORTHOPAEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PFLUEGER MD (MANAGING PARTNER/AUTHORIZED OFFICIA)
(928) 777-9950
Entity
Organization
Contact information
Practice address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Mailing address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150726
—
AZ
Enumeration date
10/01/2010
Last updated
05/19/2023
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