Organization
THE CENTER FOR MUSCULOSKELETAL ULTRASOUND OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN KEITH JABLON (CEO)
(480) 239-3968
Entity
Organization
Contact information
Practice address
9821 N 95TH ST STE 101, SCOTTSDALE, AZ 85258-4589
(480) 239-5539
(949) 218-1946
Mailing address
910 S EL CAMINO REAL STE 102, SAN CLEMENTE, CA 92672-4279
(949) 219-1943
(949) 218-1946
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E11
DIAGNOSTIC IMAGING
AZ
Enumeration date
03/23/2015
Last updated
03/23/2015
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