| Cod Sports Medicine | |
|
43500 Monterey Ave Palm Desert CA 92260-9305 | |
| (760) 773-2586 | |
| Not Available |
| Full Name | Cod Sports Medicine |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 43500 Monterey Ave, Palm Desert, California |
| Authorized Official Name and Position | Todd J. Conger (HEAD TRAINER) |
| Authorized Official Contact | 7607732586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cod Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Cod Sports Medicine 43500 Monterey Ave Palm Desert CA 92260-9305 Ph: (760) 773-2586 |
| NPI Number | 1720497928 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720497928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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