Modern Sports Medicine Llc
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Sun Lakes, AZ(View on Map)
Legal Business Name
Modern Sports Medicine Llc
NPI Number
1285295089
NPI Type
Organization
Enumeration Date
06/24/2019
Specialties
(Taxonomies)Name
Code
2081S0010X
225100000X
207QS0010X
2085R0204X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
10450 E RIGGS RD STE 104
10450 E RIGGS RD STE 104
City
Sun Lakes
Sun Lakes
State
AZ
AZ
Postal Code
85248-7759
85248-7759
Country
US
US
Telephone Number
(502) 415-2836
(502) 415-2836
Authorized Official
Name
Joshua Adams
Title or Position
OWNER
Telephone Number
(480) 306-6627
Health Information Exchange
Endpoint Type
CONNECT
Endpoint
drjosh@azmedsport.com
Endpoint Description
email
Use
Direct
Content Type
Other
Other Description:building mailbox
Affiliation
N
Endpoint Location
10450 E Riggs Rd Ste 104Sun Lakes, AZ852487759US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/26/2024
Provider Address
Other Sports Medicine (Physical Medicine & Rehabilitation) Physician in Sun Lakes, Arizona:
Modern Sports Medicine Llc
Sun City, AZSpecialties: Sports Medicine (Physical Medicine & Rehabilitation) Physician (Primary)Sports Medicine (Preventive Medicine) Physician