| Utp Sports Medicine | |
|
3000 Arlington Ave Toledo OH 43614-2595 | |
| (419) 383-3761 | |
| (419) 383-6170 |
| Full Name | Utp Sports Medicine |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 3000 Arlington Ave, Toledo, Ohio |
| Authorized Official Name and Position | Kris Brickman (UTP PRESIDENT) |
| Authorized Official Contact | 4193837100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utp Sports Medicine 3355 Glendale Ave Third Floor Toledo OH 43614-2426 Ph: (419) 383-7100 | Utp Sports Medicine 3000 Arlington Ave Toledo OH 43614-2595 Ph: (419) 383-3761 |
| NPI Number | 1215240676 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 06/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215240676 | NPI | - | NPPES |
| 0329226 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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