Healthcare Provider Details

I. General information

NPI: 1609112861
Provider Name (Legal Business Name): FITZMAURICE HAND INSTITUTE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2012
Last Update Date: 05/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8841 E BELL RD STE 201
SCOTTSDALE AZ
85260-1535
US

IV. Provider business mailing address

8841 EAST BELL ROAD SUITE 201
PHOENIX AZ
85260
US

V. Phone/Fax

Practice location:
  • Phone: 480-719-4750
  • Fax: 480-245-5086
Mailing address:
  • Phone: 480-719-4750
  • Fax: 480-245-5086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number StateAZ

VIII. Authorized Official

Name: DR. MICHAEL JAMES FITZMAURICE
Title or Position: OWNER / HAND SURGEON
Credential: M.D.
Phone: 480-719-4750