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Organization
MODERN SPORTS MEDICINE LLC
Active
Organization
MODERN SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ADAMS (OWNER)
(480) 306-6627
Entity
Organization
Contact information
Practice address
8240 W CACTUS RD STE 100, PEORIA, AZ 85381-5231
(480) 306-6627
(480) 306-6696
Mailing address
8240 W CACTUS RD STE 100, PEORIA, AZ 85381-5231
(480) 306-6627
(480) 306-6696
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
04/05/2023
Last updated
09/26/2024
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