Organization
THE ORTHOPEDIC CLINIC ASSOCIATION, INC
Active
Other names
The Orthopedic Clinic Association PC
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
9377 E BELL RD, SUITE 231, SCOTTSDALE, AZ 85260-1502
(602) 277-6211
(866) 242-5309
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
000000000879239SCOTT
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
000000000879239SCOTT
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511031
—
AZ
Enumeration date
03/22/2007
Last updated
01/13/2022
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