MEDICARE: SPINE & ORTHOPEDIC SPECIALISTS, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207XS0117X	Orthopaedic Surgery of the Spine Physician
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
3	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1750556163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPINE & ORTHOPEDIC SPECIALISTS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 13537
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85267-3537
Country	:	US
Telephone Number	:	480-353-0446
Fax Number	:	877-715-6428

Provider Business Practice Location Address
First Line	:	20401 N 73RD ST
Second Line	:	SUITE 255
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4147
Country	:	US
Telephone Number	:	480-353-0446
Fax Number	:	877-715-6428

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. TODD M DOERR
Credential	:	MD
Telephone Number	:	480-353-0446

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	03/22/2012

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