| The Sports Medicine Clinic | |
|
2469 Corrales Rd Suite A2 Corrales NM 87048-9146 | |
| (505) 377-5733 | |
| Not Available |
| Full Name | The Sports Medicine Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2469 Corrales Rd, Corrales, New Mexico |
| Authorized Official Name and Position | Joshua Peiper (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5053775733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sports Medicine Clinic 2469 Corrales Rd Suite A2 Corrales NM 87048-9146 Ph: (505) 377-5733 | The Sports Medicine Clinic 2469 Corrales Rd Suite A2 Corrales NM 87048-9146 Ph: (505) 377-5733 |
| NPI Number | 1962876581 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962876581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | FA0102165 (New Mexico) | Primary |
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