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>> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508815267

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3400 N DYSART RD STE H131 AVONDALE, AZ 85392-1003 US
Tel: 623-535-9777  Fax: 623-236-3179

Contact information for business:
3400 N DYSART RD STE H131 AVONDALE, AZ 85392-1003 US
Tel: 623-535-9777  Fax: 623-236-3179

Registration Information:
NPI: 1508815267
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:



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