Provider Demographics
NPI:1275716011
Name:ARIZONA HAND AND WRIST SPECIALISTS
Entity Type:Organization
Organization Name:ARIZONA HAND AND WRIST SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:BEAUCHENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-393-1010
Mailing Address - Street 1:690 N COFCO CENTER CT
Mailing Address - Street 2:SUITE 190
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-6462
Mailing Address - Country:US
Mailing Address - Phone:602-393-1010
Mailing Address - Fax:602-393-1011
Practice Address - Street 1:690 N COFCO CENTER CT
Practice Address - Street 2:SUITE 190
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-6462
Practice Address - Country:US
Practice Address - Phone:602-393-1010
Practice Address - Fax:602-393-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-16
Last Update Date:2007-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ84338Medicare UPIN