| NPI | 1003275413 |
|---|---|
| Doing Business As | SPARCC |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MORTAZAVI Director 520-222-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: AZ 49421) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: AZ 49421) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: AZ 49421) | |
| 208000000X Pediatrics (Licence: CA 49421) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2023-04-24 |