Organization · Type 2 NPI

Orthopedic Specialists of North America, PLLC

Sports Medicine (Orthopaedic Surgery) Physician · San Tan Valley, AZ

NPI number 1679937262 Active

Practice location

40601 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7036

Call (602) 648-5444 Map

Fax (602) 772-3801

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	44763 (AZ)
Orthopaedic Surgery Physician	207X00000X	None listed
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	None listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

12 other providers at this address

NPI record

NPI: 1679937262
Entity type: Organization (Type 2)
Issued: Apr 8, 2016
Last updated: Jul 25, 2022
Status: Active
Subpart: Yes of Orthopedic Specialists of North America, PLLC

Other names

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Orthoarizona · doing business as

Authorized official

Daleina Bulger
Credentialing Manager
(602) 385-2115

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679937262

Orthopedic Specialists of North America, PLLC's National Provider Identifier is 1679937262, issued on Apr 8, 2016. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jul 25, 2022.