Oldham Ortho Pllc

NPI #1578280681 in Lakeside, Arizona

Provider Information

NPI Number: 1578280681
Entity Type: Organization
Organization Name: Oldham Ortho Pllc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 20, 2022
Last Updated: Oct 20, 2022

Practice Location

Address: 4830 HIGHWAY 260 STE 103
City: Lakeside
State: Arizona
ZIP Code: 85929-5851
Phone: (928) 537-8777

Authorized Official

Name: JACOB B OLDHAM, MD
Title: OWNER
Phone: (928) 537-8777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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