| Dr John Hunt Udall, MD | |
|
1432 S Dobson, Suite 304, Mesa, AZ 85202 | |
| (480) 412-7400 | |
| (480) 412-5991 |
| Full Name | Dr John Hunt Udall |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1432 S Dobson, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649477357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 41972 (Arizona) | Primary |
| Entity Name | Banner Physician Super Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Hunt Udall, MD 1432 S Dobson, Suite 304, Mesa, AZ 85202 Ph: (480) 412-7400 | Dr John Hunt Udall, MD 1432 S Dobson, Suite 304, Mesa, AZ 85202 Ph: (480) 412-7400 |
Amalia M De Comas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd Ste 202, Mesa, AZ 85202 Phone: 866-974-2673 Fax: 866-939-2673 | |
Todd Wycall Phillips, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd Ste 202, Mesa, AZ 85202 Phone: 866-974-2673 Fax: 866-939-2673 | |
Dr. James A Taylor Jr., DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 301a, Mesa, AZ 85209 Phone: 480-354-5900 | |
Dr. Brian Robb Mcwhorter, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 301c, Mesa, AZ 85209 Phone: 480-354-5900 | |
Dr. Michael S Chang, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1462 S. Dobson Road, Suite 201, Mesa, AZ 85202 Phone: 480-962-0071 Fax: 480-962-0590 | |
Amanda Rose Cheetham, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd Ste 202, Mesa, AZ 85202 Phone: 866-974-2673 | |
Stephen E Hatfield, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4850 E Baseline Rd, Mesa, AZ 85206 Phone: 480-461-0047 Fax: 480-461-1103 |