Provider Demographics
NPI:1659552446
Name:RINCON ORTHOPEDIC ASSOCIATES PC
Entity Type:Organization
Organization Name:RINCON ORTHOPEDIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MEANEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-881-1922
Mailing Address - Street 1:5225 E KNIGHT DR STE 201
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2156
Mailing Address - Country:US
Mailing Address - Phone:520-881-1922
Mailing Address - Fax:520-795-4985
Practice Address - Street 1:5225 E KNIGHT DR STE 201
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2156
Practice Address - Country:US
Practice Address - Phone:520-881-1922
Practice Address - Fax:520-795-4985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20907174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty