| University Sports Medicine Pc | |
|
15810 S 45th St Ste 101 Phoenix AZ 85048-7695 | |
| (480) 222-3384 | |
| (480) 222-3422 |
| Full Name | University Sports Medicine Pc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 15810 S 45th St Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | Roger Leslie Mccoy (PRESIDENT) |
| Authorized Official Contact | 4802223384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Sports Medicine Pc 15810 S 45th St Ste 101 Phoenix AZ 85048-7695 Ph: (480) 222-3384 | University Sports Medicine Pc 15810 S 45th St Ste 101 Phoenix AZ 85048-7695 Ph: (480) 222-3384 |
| NPI Number | 1477587335 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477587335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 22472 (Arizona) | Primary |
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