NPI 1356169643

Modern Sports Medicine LLC

Organisation Sports Medicine (Physical Medicine & Rehabilitation) Physician Surprise, AZ

Practice location

Address: 12515 W Bell Rd STE 103, Surprise, AZ 85378-9702
Phone: (480) 306-6627
Fax: (480) 306-6696

Authorised official

Name: Joshua Adams
Title: Owner
Phone: (803) 066-6274

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X

Other Physical Medicine & Rehabilitation providers in Arizona →

Registry record

NPI: 1356169643
Entity type: Organization
NPI issued: 26 Sep 2024
Record last updated: 26 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.