Orthoarizona | |
33300 N 32nd Ave # 320 Phoenix AZ 85085-8877 | |
(602) 385-2115 | |
Not Available |
Full Name | Orthoarizona |
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Speciality | Clinic/Center |
Location | 33300 N 32nd Ave # 320, Phoenix, Arizona |
Authorized Official Name and Position | Daleina Bulger (CREDENTIALING MANAGER) |
Authorized Official Contact | 6023852115 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Orthoarizona Po Box 80217 Phoenix AZ 85060-0217 Ph: (602) 385-2115 | Orthoarizona 33300 N 32nd Ave # 320 Phoenix AZ 85085-8877 Ph: (602) 385-2115 |
NPI Number | 1659970242 |
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Provider Enumeration Date | 10/23/2020 |
Last Update Date | 09/10/2021 |
Medicare PECOS PAC ID | 7719014505 |
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Medicare Enrollment ID | O20220107000316 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659970242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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