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Organization

ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC

Active
Parent organization
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC
Other names
OrthoArizona
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC
Authorized official
DALEINA BULGER (CREDENTIALING MANAGER)
(602) 385-2115
Entity
Organization

Contact information

Practice address
33423 N 32ND AVE STE 101, PHOENIX, AZ 85085-8874
(602) 648-5444
(602) 648-5445
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
208100000X
Physical Medicine & Rehabilitation Physician
213E00000X
Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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