| NPI | 1679189765 |
|---|---|
| Doing Business As | ASMC ARIZONA SPORTS MEDICINE CENTER ABRAZO MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRIAN RASMUS VP, CFO Tpr 469-893-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |