EASTERN ARIZONA ORTHOPEDIC CLINIC PC - NPI 1962621375

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Eastern Arizona Orthopedic Clinic Pc NPPES

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

EASTERN ARIZONA ORTHOPEDIC CLINIC PC (NPI 1962621375) is a healthcare organization registered as a specialist in Globe, Arizona and active in the NPI registry since April 2007. The organization lists Mary Teresa Acosta, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962621375

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameEASTERN ARIZONA ORTHOPEDIC CLINIC PC

Location Address5860 S HOSPITAL DR, STE103Globe, AZ 85501-9449

Mailing Address5860 S Hospital Dr, Ste 103Globe, AZ 85501-9449 · (928) 425-3193 · Fax (928) 425-4771

Phone(928) 425-3193

Fax(928) 425-4771

Organization SubpartNo

Authorized OfficialMary Teresa AcostaOffice Manager · (928) 425-3193

Enumeration DateApril 24, 2007

Last NPPES UpdateJune 12, 2008

✔ NPI 1962621375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 11804

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5860 S HOSPITAL DR, Globe, AZ 85501

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Other Identifiers 4

Medicare UPINE44419AZ

Medicare ID-Type Unspecified20WCGDT01AZ

Medicaid235102AZ

Medicare NSC0733210001AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP