Healthcare Provider Details
I. General information
NPI: 1548813959
Provider Name (Legal Business Name): URGENTLY ORTHO ORTHOPEDIC SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2019
Last Update Date: 09/10/2022
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13402 N SCOTTSDALE RD STE A125
SCOTTSDALE AZ
85254-4055
US
IV. Provider business mailing address
13402 N SCOTTSDALE RD STE A125
SCOTTSDALE AZ
85254-4055
US
V. Phone/Fax
- Phone: 480-531-6007
- Fax: 602-429-8336
- Phone: 480-531-6007
- Fax: 602-429-8336
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0114X |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LEAH
C
BROWN
Title or Position: OWNER
Credential: MD
Phone: 480-530-7575