Organization
SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY CLINIC
Active
Parent organization
SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY CLINIC
Authorized official
MR. ANGELO J. MATTALINO (OWNER)
(480) 860-2618
Entity
Organization
Contact information
Practice address
4566 E. INVERNESS RD., STE. 101, MESA, AZ 85206
(480) 763-5950
(480) 763-1375
Mailing address
8129 N. 87TH PLACE, SCOTTSDALE, AZ 85258
(480) 860-2618
(480) 998-3879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3696
AZ
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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