VERDE VALLEY ORTHOPEDICS PC NPI 1184652562

NPI Information

  • NPI: 1184652562
  • Provider Name: VERDE VALLEY ORTHOPEDICS PC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 450 S WILLARD ST
    SUITE 101
    COTTONWOOD, AZ
    ZIP 86326
  • Phone: (928) 634-1112

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NPI Details

VERDE VALLEY ORTHOPEDICS PC is an orthopaedic surgery in Cottonwood, AZ. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. VERDE VALLEY ORTHOPEDICS PC NPI is 1184652562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 S WILLARD ST
SUITE 101
COTTONWOOD, AZ
ZIP 86326-743
Phone: (928) 634-1112
Fax: (928) 634-1117

The provider's authorized official is Jack Winfred Wylie .
The authorized official title is Physician and has the following contact phone number (928) 634-1112.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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