Organization · Type 2 NPI

Sierra Orthopedic Institute Medical Corporation

Sports Medicine (Orthopaedic Surgery) Physician · Sonora, CA

NPI number 1013475755 Active

Practice location

13949 Mono Way
Sonora, CA 95370-2807

Call (209) 728-5035 Map

Mailing address

13205 Sylva Ln
Sonora, CA 95370-5286

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	None listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

5 other providers at this address

Other sports medicine (orthopaedic surgery) physician providers in Sonora

Sierra Orthopedic Institute Medical CorporationSports Medicine (Orthopaedic Surgery) Physician Sonora, CA NPI 1487967303

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NPI record

NPI: 1013475755
Entity type: Organization (Type 2)
Issued: Mar 12, 2019
Last updated: Mar 12, 2019
Status: Active
Subpart: Yes of Sierra Orthopedic Institute Medical Corporation

Other names

Restore Orthopedics and Sports Medicine · doing business as

Authorized official

Ariana Marie Demers, DO
President
(209) 728-5035

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013475755

Sierra Orthopedic Institute Medical Corporation's National Provider Identifier is 1013475755, issued on Mar 12, 2019. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Sonora, CA. The record was last updated on Mar 12, 2019.