| NPI | 1043027634 |
|---|---|
| Doing Business As | GS SPORTS MED |
| Entity Type | Organization |
| Authorized Contact | KEVIN VALVANO Owner 862-217-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-04-04 |