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Organization

LAKESIDE ORTHOPEDIC INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM F BINDER M.D. (PARTNER)
(928) 505-5555
Entity
Organization

Contact information

Practice address
150 EAST TYSON RD, QUARTZSITE, AZ 85359
(928) 505-5555
(928) 505-2877
Mailing address
25 RIVIERA BLVD, LAKE HAVASU CITY, AZ 86403-5694
(928) 505-5555
(928) 505-2877

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13802
AZ
207X00000X
Orthopaedic Surgery Physician
23186
AZ
207X00000X
Orthopaedic Surgery Physician
26379
AZ
207X00000X
Orthopaedic Surgery Physician
34564
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
0554
AZ

Other

Enumeration date
01/22/2010
Last updated
02/17/2011
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