Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Orthopedic Clinic Association, Inc

Organization Orthopaedic Surgery Physician · NPI 1699399709

The Orthopedic Clinic Association, Inc is an Orthopaedic Surgery Physician in Glendale, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18700 N 64th Dr Ste 205
Glendale, AZ 85308-7112
Phone: (602) 536-7480
Fax: (602) 533-4167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1699399709
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Medical Group
Authorized official Dennis Laraway — Cfo · (602) 747-4000
NPI enumeratedJune 4, 2020
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

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