MEDICARE: NORTH PHOENIX ORTHOPEDIC SURGEONS, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1033279161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH PHOENIX ORTHOPEDIC SURGEONS, LTD

Provider Business Mailing Address
First Line	:	9250 N 3RD ST
Second Line	:	SUITE 4030
City	:	PHOENIX
State	:	AZ
Zip	:	85020-2412
Country	:	US
Telephone Number	:	602-944-2271
Fax Number	:	602-943-3420

Provider Business Practice Location Address
First Line	:	9250 N 3RD ST
Second Line	:	SUITE 4030
City	:	PHOENIX
State	:	AZ
Zip	:	85020-2412
Country	:	US
Telephone Number	:	602-944-2271
Fax Number	:	602-943-3420

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THEODORE ROLAND HOFSTEDT
Credential	:	MD
Telephone Number	:	602-944-2271

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/06/2009

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