NPI | 1740529288 |
---|---|
Other Name | OPC LLC - ARIZONA SPORTS MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | JOHN KINNA Chief Executive Officer 602-772-3790 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2013-02-04 |
Last Update Date | 2017-02-21 |