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Organization

SPARCC PROFESSIONAL CORPORATION

Active
Other names
SPARCC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMED MORTAZAVI MD (DIRECTOR)
(520) 222-8076
Entity
Organization

Contact information

Practice address
5199 E FARNESS DR, STE 101, TUCSON, AZ 85712-5617
(520) 222-8076
(520) 300-7156
Mailing address
5199 E FARNESS DR STE 101, TUCSON, AZ 85712-2262
(520) 548-4847
(520) 300-7156

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207QS0010X
Sports Medicine (Family Medicine) Physician
49421
AZ
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
49421
AZ
208000000X
Pediatrics Physician
49421
CA
2080S0010X
Pediatric Sports Medicine Physician
49421
AZ
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
02/12/2016
Last updated
04/20/2026
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