Sonoran Sports & Family Medicine Plc
LBN: Sonoran Sports & Family Medicine Plc
Sonoran Sports & Family Medicine Plc is an health care organization with primary practice located at 3930 S Alma School Rd Suite 8, Chandler AZ 85248-4510. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Sonoran Sports & Family Medicine Plc can be contacted via phone (480) 802-1300, or through Davis, Jeffrey Todd via phone (480) 802-1300.
Contact Information
Primary practice address
3930 S Alma School Rd Suite 8
Chandler AZ 85248-4510
Phone: (480) 802-1300
Fax: (480) 802-1359
Website:
Authorized official contact:
Name: Davis, Jeffrey Todd Doctor of Medicine (MD)
Phone: (480) 802-1300
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30501 | Arizona |
Profile Details
NPI number | 1942488861 |
---|---|
LBN Legal business name | Sonoran Sports & Family Medicine Plc |
DBA Doing business as | |
Authorized official | Davis, Jeffrey Todd Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 1st, 2008 |
Last updated | May 19th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942488861 | NPPES |
Arizona | MEDICAID | 926876 |
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