Healthcare Provider Details

I. General information

NPI: 1063566347
Provider Name (Legal Business Name): ARIZONA INSTITUTE FOR BONE AND JOINT DISORDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 E HIGHLAND AVE SUITE 300
PHOENIX AZ
85016-4739
US

IV. Provider business mailing address

13832 N 32ND ST SUITE 150
PHOENIX AZ
85032-5613
US

V. Phone/Fax

Practice location:
  • Phone: 602-553-3113
  • Fax: 602-667-7991
Mailing address:
  • Phone: 602-553-3113
  • Fax: 602-667-7991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY KEITH HEDLEY
Title or Position: PRESIDENT
Credential: M. D.
Phone: 602-553-3113