Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 34023 | AZ |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 34023 | AZ |
N | 207XS0117X | Orthopaedic Spine Surgeon | 34023 | AZ |
NPI | 1346252269 |
---|---|
Provider Name | Dr. Luis A. Piedrahita |
First Address | Tucson, AZ 85751-1630 |
Second Address | Tucson, AZ 85712-2805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 10/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
935588 | (05) | AZ |
935588 | AHCCCS (01) | AZ |
H91468 | (02) | |
H91468 | (02) | AZ |