University Sports Medicine Pc

NPI 1477587335 - Family Medicine - 207QS0010X

NPI Details
NPI 1477587335
Enumeration Date 07/10/2006
Last Updated 08/23/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROGER LESLIE ROGER
Position PRESIDENT
Phone (480) 222-3384
Fax (480) 222-3422
Practice Location
15810 S 45TH ST STE 101
PHOENIX AZ, 85048-7695, US
Phone (480) 222-3384
Fax (480) 222-3422
Business Location
15810 S 45TH ST STE 101
PHOENIX AZ, 85048-7695, US
Phone (480) 222-3384
Fax (480) 222-3422
Toxanomy
Taxonomy Code 207QS0010X
License State Arizona
License Number 22472
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According to our database, University Sports Medicine Pc NPI is 1477587335, taxonomy code is 207QS0010X and license number is 22472, license state is located at Arizona. University Sports Medicine Pc physically located at 15810 S 45th St Ste 101, Phoenix AZ, 85048-7695. NPI Number 1033115704 has the healthcare provider type.

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1477587335 NPI number is provided on an as is basis without warranty of any kind. 1477587335 is maintained by the National Plan & Provider Enumeration System. The contents of University Sports Medicine Pc are for informational purposes only.