# SONORAN SPORTS & FAMILY MEDICINE PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942488861
- **Authorized official:** DR. JEFFREY TODD DAVIS MD (OWNER)
- **Authorized official phone:** (480) 802-1300

## Contact information

- **Practice address:** 3930 S ALMA SCHOOL RD, SUITE 8, CHANDLER, AZ 85248-4510
- **Practice address phone:** (480) 802-1300
- **Practice address fax:** (480) 802-1359
- **Mailing address:** 3930 S ALMA SCHOOL RD, SUITE 8, CHANDLER, AZ 85248-4510
- **Mailing address phone:** (480) 802-1300
- **Mailing address fax:** (480) 802-1359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30501 | AZ | Yes |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 05/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 926876 | — | AZ |