PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC
Surgery Yellow Pages
Phoenix, Arizona
Provider NPI: 1336131143
Organization Information:Organization Name: PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC
Practice Location:
690 N COFCO CENTER CT SUITE 150 PHOENIX, AZ 85008 US
Tel: 602-288-4441 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
690 N COFCO CENTER CT SUITE 150 PHOENIX, AZ 85008 US
Tel: 602-288-4441 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | AZ | OSC3177 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS OF ARIZONA | AZ0208190 | AZ | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin