Organization
THE JOINT REPLACEMENT CENTER OF SCOTTSDALE
Active
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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