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Contact Information

CANYON ORTHOPAEDIC SURGEONS
10450 W MCDOWELL RD
STE 102
AVONDALE, AZ85392
 Phone: 623-846-7614
 Fax: 623-848-4738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CANYON ORTHOPAEDIC SURGEONS

NPI Number 1982700720
LBN Legal business name CANYON ORTHOPAEDIC SURGEONS
Authorized official JOANNA POINDEXTER - (ASSISTANT PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 08/04/2011 - About 15 years ago
Identifiers
AZ Other 1770805590 AS OF 5/1/2010, CANYON/OSNA DIVISION NPI
AZ Other 1982700720 CANYON GROUP NPI PRIOR TO 5/1/2010
AZ Other 1770812828 EFF 5/1/2010, OSNA GROUP NPI
AZ Other Z136714 EFF 5/1/2010, OSNA GROUP PTAN
AZ Other 0692950001 MEDICARE DMERC (AV)
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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