Organization Name: | EASTERN ARIZONA ORTHOPEDIC CLINIC PC |
NPI Number: | 1962621375 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY TERESA ACOSTA (OFFICE MANAGER) |
Mailing Address: | 5860 S Hospital Dr Ste103 Globe |
State: | AZ US |
Postal Code: | 855019449 |
Phone Number: | 9284253193 |
Fax Number: | 9284254771 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |