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Contact Information

THE ORTHOPEDIC CLINIC ASSOCIATION PC
2222 E HIGHLAND AVE
SUITE 300
PHOENIX, AZ85016-4872
 Phone: 602-277-6211
 Fax: 866-242-5309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for THE ORTHOPEDIC CLINIC ASSOCIATION PC

NPI Number 1194961300
LBN Legal business name THE ORTHOPEDIC CLINIC ASSOCIATION PC
Authorized official DENNIS LARAWAY - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2008
Last updated 01/13/2022 - About 4 years ago
Identifiers
AZ Medicaid 511031
AZ Other WCJCV MEDICARE ID
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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