Organization
ACCIDENT & INJURY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOJO DEGROOT (ADMINISTRATOR)
(602) 466-9664
Entity
Organization
Contact information
Practice address
701 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 466-9664
(602) 391-2617
Mailing address
PO BOX 75573, PHOENIX, AZ 85087-1029
(602) 466-9664
(602) 391-2617
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
4105
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
4105
AZ
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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