HomeNPI Verification
NPI Verification
National Provider Identifier: 1154832277
Accident & Injury Solutions
Organization
Primary Specialty
General Practice
Code: 208D00000X
All Specialties (3)
Neuromusculoskeletal Medicine, Sports Medicine
Code: 204C00000X
Family Medicine, Sports Medicine
Code: 207QS0010X
General Practice
Code: 208D00000X
Practice Address
701 W GLENDALE AVE
PHOENIX, AZ 850218629
Phone: 602-466-9664
NPI Enumeration Date
October 16, 2017
NPI Number
1154832277Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry