FLYING PIG OFFROAD PLLC - NPI 1609518976 - Colon & Rectal Surgery in Phoenix, AZ

Q: What is Flying Pig Offroad PLLC's NPI number?

The NPI number for Flying Pig Offroad PLLC is 1609518976. It was assigned to this organization in the NPPES registry on April 8, 2022.

Q: What is Flying Pig Offroad PLLC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

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About Flying Pig Offroad Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLYING PIG OFFROAD PLLC (NPI 1609518976) is a healthcare organization registered as a colon & rectal surgery in Phoenix, Arizona and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Peoria and lists Debora Mcclary, Owner, as its authorized official.

NPPES Registry Identity

NPI1609518976

Entity TypeOrganization

Primary Taxonomy208C00000X

Legal Business NameFLYING PIG OFFROAD PLLC

Location Address20333 N 19TH AVE STE 230Phoenix, AZ 85027-9901

Mailing AddressPo Box 10356Glendale, AZ 85318-0356 · (480) 707-9504 · Fax (602) 581-7764

Phone(480) 707-9504

Fax(602) 581-7764

Organization SubpartNo

Authorized OfficialDebora McclaryOwner · (480) 707-9504

Enumeration DateApril 8, 2022

Last NPPES UpdateJanuary 5, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2025

✔ NPI 1609518976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X

20333 N 19TH AVE STE 230, Phoenix, AZ 85027

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Secondary Practice Location 1

Location 17776 W Quail AvePeoria, AZ 85382-3322 · Phone (602) 421-1299

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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