Healthcare Provider Details

I. General information

NPI: 1679726103
Provider Name (Legal Business Name): JAMES PHILLIP ANDRY MD, MS, BS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES PHILLIP ANDRY M.D.

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 12/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W THOMAS RD STE 750
PHOENIX AZ
85013-4222
US

IV. Provider business mailing address

3815 E BELL RD STE 2200
PHOENIX AZ
85032-2139
US

V. Phone/Fax

Practice location:
  • Phone: 623-882-1292
  • Fax: 623-882-8184
Mailing address:
  • Phone: 602-633-3848
  • Fax: 602-633-3841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number47603
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: