Organization
THE DESERT SPORTS MEDICINE AND SHOULDER CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PHILIP RICHARDS MD (PRESIDENT/PHYSICIAN)
(480) 807-3554
Entity
Organization
Contact information
Practice address
6130 E BROWN RD, MESA, AZ 85205-4960
(480) 807-3554
(480) 807-8330
Mailing address
6130 EAST BROWN ROAD, MESA, AZ 85205-4960
(480) 807-3554
(480) 807-8330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31646
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
31646
AZ
Other
Enumeration date
03/27/2008
Last updated
06/17/2008
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