| Arizona Sports Medicine Center Plc | |
|
8630 E Via De Ventura Suite 201 Scottsdale AZ 85258-3326 | |
| (480) 558-3744 | |
| (480) 558-3801 |
| Full Name | Arizona Sports Medicine Center Plc |
|---|---|
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 8630 E Via De Ventura, Scottsdale, Arizona |
| Authorized Official Name and Position | Jason R Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4808891580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Sports Medicine Center Plc 8630 E Via De Ventura Suite 201 Scottsdale AZ 85258-3326 Ph: (480) 558-3744 | Arizona Sports Medicine Center Plc 8630 E Via De Ventura Suite 201 Scottsdale AZ 85258-3326 Ph: (480) 558-3744 |
| NPI Number | 1144629916 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144629916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | (Arizona) | Primary |
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