Provider Demographics
NPI:1407060577
Name:AFFILIATED ORTHOPEDIC SPECIALISTS
Entity Type:Organization
Organization Name:AFFILIATED ORTHOPEDIC SPECIALISTS
Other - Org Name:CULLEY K CHRISTENSEN
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-860-4411
Mailing Address - Street 1:10752 N 89TH PL
Mailing Address - Street 2:SUITE C 134
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6730
Mailing Address - Country:US
Mailing Address - Phone:480-860-4411
Mailing Address - Fax:480-860-2651
Practice Address - Street 1:10752 N 89TH PL
Practice Address - Street 2:SUITE C 134
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6730
Practice Address - Country:US
Practice Address - Phone:480-860-4411
Practice Address - Fax:480-860-2651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ08464174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ66889OtherPTAN
AZZ66889OtherPTAN