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Azure Healthcare Of Arizona PLLC

Orthopaedic Surgery in Chandler, AZ. Organization (NPI-2).

NPI number1376017780
StatusActive
Last updated in NPPESJul 10, 2023

Details

NPI
1376017780
Entity type
Organization (NPI-2)
Legal business name
Azure Healthcare Of Arizona PLLC
Organization subpart
No
Enumeration date
Jan 18, 2019
Certification date
Jul 10, 2023
Last updated
Jul 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes
207LP2900X Anesthesiology, Pain Medicine––
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery––
225100000X Physical Therapist––
363A00000X Physician Assistant––
103T00000X Psychologist––
111N00000X Chiropractor––
207L00000X Anesthesiology––

Practice location

2425 S Stearman Dr
Chandler, AZ 85286-5039

Phone 480-899-4333 · Fax 480-899-7219

Mailing address

2425 S Stearman Dr
Chandler, AZ 85286-5039

Phone 480-899-4333 · Fax 480-899-7219

Authorized official

Douglas Clouse
Member Manager
4808994333

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