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Greater Phoenix Orthopedics

Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Scottsdale, AZ. Organization (NPI-2).

NPI number1629439005
StatusActive
Last updated in NPPESDec 27, 2022

Details

NPI
1629439005
Entity type
Organization (NPI-2)
Legal business name
Greater Phoenix Orthopedics
Organization subpart
No
Enumeration date
Mar 14, 2016
Certification date
Dec 27, 2022
Last updated
Dec 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery34339AZYes

Practice location

20401 N 73rd St
Suite 155
Scottsdale, AZ 85255-4107

Phone 800-483-0726 · Fax 800-483-0729

Mailing address

20401 N 73rd St Ste 160
Scottsdale, AZ 85255-4149

Phone 800-483-0726 · Fax 800-483-0729

Authorized official

Regina Marie Gilleland
Manager
6232087979

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