Advanced Orthopaedics And Sports Medicine, Pc

LBN: Advanced Orthopaedics And Sports Medicine, Pc
Advanced Orthopaedics And Sports Medicine, Pc is an health care organization with primary practice located at 1760 E Florence Blvd Suite 120, Casa Grande AZ 85122-4764. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Advanced Orthopaedics And Sports Medicine, Pc can be contacted via phone (520) 426-1000, or through Matanky, Bryan K. via phone (520) 426-1000.

Contact Information

Primary practice address
1760 E Florence Blvd Suite 120 Casa Grande AZ 85122-4764
Fax: (520) 426-1395
Website:
Authorized official contact:
Name: Matanky, Bryan K. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22110 Arizona

Profile Details

NPI number 1417066788
LBN Legal business name Advanced Orthopaedics And Sports Medicine, Pc
DBA Doing business as
Authorized official Matanky, Bryan K. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417066788 NPPES
Arizona Other CH9210 RR MEDICARE
Arizona Other F66298 RR MEDICARE
Arizona MEDICAID 344579 RR MEDICARE
Arizona MEDICAID F00672 RR MEDICARE

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