Healthcare Provider Details

I. General information

NPI: 1508340209
Provider Name (Legal Business Name): ORTHOPAEDIC SPECIALISTS OF SCOTTSDALE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20401 N 73RD ST STE 135
SCOTTSDALE AZ
85255-4148
US

IV. Provider business mailing address

20401 N 73RD ST STE 135
SCOTTSDALE AZ
85255-4148
US

V. Phone/Fax

Practice location:
  • Phone: 480-305-0034
  • Fax: 480-361-3540
Mailing address:
  • Phone: 480-305-0034
  • Fax: 480-361-3540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BERTRAND PAUL KAPER
Title or Position: OWNER - PHYSICIAN
Credential: MD
Phone: 480-305-0034