MODERN SPORTS MEDICINE LLC NPI 1942810833

NPI Information

MODERN SPORTS MEDICINE LLC is a specialist in Mesa, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MODERN SPORTS MEDICINE LLC NPI is 1942810833. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6242 E ARBOR AVE STE 101
MESA, AZ
ZIP 85206-309
Phone: (480) 878-4806
Fax: (480) 840-1672

The provider's authorized official is Susan Fruchtman .
The authorized official title is Director Of Billing and has the following contact phone number (480) 473-0115.

The enumeration date for this NPI number is 8/5/2020 and was last updated on 9/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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