Organization · Type 2 NPI
At Direct Sports Medicine, LLC
Sports Medicine (Preventive Medicine) Physician · Mesa, AZ
NPI number
1720507262
Active
Practice location
6424 E Fairfield St
Mesa, AZ 85205-6042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | 1318 (AZ) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
About NPI 1720507262
At Direct Sports Medicine, LLC's National Provider Identifier is 1720507262, issued on Sep 15, 2017. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Mesa, AZ. The record was last updated on Jul 21, 2022.