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Organization
SOUTHWEST PHYSIATRY PLLC
Active
Organization
SOUTHWEST PHYSIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CRINCOLI MD (PRESIDENT)
(617) 538-3650
Entity
Organization
Contact information
Practice address
4550 E BELL RD STE 152, PHOENIX, AZ 85032-9382
(617) 538-3650
(888) 384-2827
Mailing address
10243 N 24TH ST, PHOENIX, AZ 85028-3606
(617) 538-3650
(888) 384-2827
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
44220
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/20/2017
Last updated
07/22/2026
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