Provider Demographics
NPI:1093437246
Name:AZ ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:AZ ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASCHILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-337-7597
Mailing Address - Street 1:10200 N 92ND ST STE 225
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4536
Mailing Address - Country:US
Mailing Address - Phone:480-697-4824
Mailing Address - Fax:480-697-4825
Practice Address - Street 1:10200 N 92ND ST STE 225
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4536
Practice Address - Country:US
Practice Address - Phone:623-337-7597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty