Healthcare Provider Details

I. General information

NPI: 1275716011
Provider Name (Legal Business Name): ARIZONA HAND AND WRIST SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2007
Last Update Date: 12/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 N COFCO CENTER CT SUITE 190
PHOENIX AZ
85008-6462
US

IV. Provider business mailing address

690 N COFCO CENTER CT SUITE 190
PHOENIX AZ
85008-6462
US

V. Phone/Fax

Practice location:
  • Phone: 602-393-1010
  • Fax: 602-393-1011
Mailing address:
  • Phone: 602-393-1010
  • Fax: 602-393-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES G. BEAUCHENE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 602-393-1010