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Organization
SELLERSSPORTSMED LLC
Active
Organization
SELLERSSPORTSMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL S SELLERS DO (PHYSICIAN)
(480) 426-2667
Entity
Organization
Contact information
Practice address
1840 E BASELINE RD STE C2, TEMPE, AZ 85283-1528
(480) 751-3777
(480) 751-3785
Mailing address
1840 E BASELINE RD STE C2, TEMPE, AZ 85283-1528
(480) 751-3777
(480) 751-3785
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/21/2019
Last updated
07/01/2019
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