Organization
OMEGA ORTHOPAEDICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH PETERS MD (MEDICAL DIRECTOR)
(928) 634-0123
Entity
Organization
Contact information
Practice address
203 S. CANDY LANE, SUITE 4B, COTTONWOOD, AZ 86326-8107
(928) 634-0123
(928) 634-0123
Mailing address
203 S. CANDY LANE, SUITE 4B, COTTONWOOD, AZ 86326-8107
(928) 634-0123
(928) 634-0123
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
09582
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203943
—
AZ
01
—
AZ0008170
BCBSAZ
AZ
Enumeration date
04/18/2007
Last updated
08/22/2020
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