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Organization

THE JOINT REPLACEMENT CENTER OF SCOTTSDALE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORE PHILLIP FIRESTONE M.D. (CEO)
(480) 237-5723
Entity
Organization

Contact information

Practice address
10250 NORTH 92ND STREET, SUITE 202, SCOTTSDALE, AZ 85258-6709
(480) 237-5727
Mailing address
10250 N 92ND ST, SUITE 202, SCOTTSDALE, AZ 85258-4510
(480) 237-5727
(480) 657-3207

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DF2691
RAILROAD MEDICARE
Enumeration date
08/12/2006
Last updated
01/30/2008
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