Organization
THE DESERT SPORTS MEDICINE AND SHOULDER CLINIC LLC
Active
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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