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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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