Provider Demographics
NPI:1710065867
Name:UNIVERSITY ORTHOPEDIC SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:UNIVERSITY ORTHOPEDIC SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-321-9850
Mailing Address - Street 1:1555 E RIVER RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5831
Mailing Address - Country:US
Mailing Address - Phone:520-321-9850
Mailing Address - Fax:520-321-9005
Practice Address - Street 1:1555 E RIVER RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5831
Practice Address - Country:US
Practice Address - Phone:520-321-9850
Practice Address - Fax:520-321-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z24650Medicare UPIN