Organization
THE ORTHOPEDIC CLINIC ASSOCIATION, INC
Active
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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