Provider Demographics
NPI:1962171074
Name:EMERGENCY MEDICAL ORTHOPEDIC CARE
Entity type:Organization
Organization Name:EMERGENCY MEDICAL ORTHOPEDIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SPILLMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-989-0581
Mailing Address - Street 1:8711 E PINNACLE PEAK RD STE 287
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3517
Mailing Address - Country:US
Mailing Address - Phone:480-442-4445
Mailing Address - Fax:480-907-1444
Practice Address - Street 1:6705 N BLACK CANYON HWY
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-1029
Practice Address - Country:US
Practice Address - Phone:480-442-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty