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Organization

PINNACLE SPORTS & INTEGRATIVE MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW CROOKS MD (PHYSICIAN)
(480) 407-6400
Entity
Organization

Contact information

Practice address
9023 E DESERT COVE AVE STE 101, SCOTTSDALE, AZ 85260-6779
(480) 407-6400
(480) 407-6400
Mailing address
17505 N 79TH AVE STE 304A, GLENDALE, AZ 85308-8729
(480) 407-6400
(480) 407-6520

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4105
PENDING
AZ
Enumeration date
10/31/2017
Last updated
10/31/2017
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