Organization
A-1 ORTHOPEDIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAAGEN A DIENER MD (PRESIDENT)
(480) 833-0204
Entity
Organization
Contact information
Practice address
2501 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282-7669
(480) 299-7908
(480) 835-1021
Mailing address
2501 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282-7669
(480) 299-7908
(480) 835-1021
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29248
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563016
—
AZ
01
—
65596
MEDICARE ID
AZ
01
—
AZ0884660
BCBS
AZ
Enumeration date
10/28/2011
Last updated
07/24/2012
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