Healthcare Provider Details

I. General information

NPI: 1952206153
Provider Name (Legal Business Name): AZ ORTHO JOINT REPLACEMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8962 E DESERT COVE AVE STE 120A
SCOTTSDALE AZ
85260-6984
US

IV. Provider business mailing address

8962 E DESERT COVE AVE STE 120A
SCOTTSDALE AZ
85260-6984
US

V. Phone/Fax

Practice location:
  • Phone: 480-661-5232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIC BOON
Title or Position: OFFICER/AUTHORIZED OFFICIAL
Credential:
Phone: 480-567-0269