Organization
CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization
CUCCHETTI ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM HOLLIDAY RN (ADMINISTRATOR)
(480) 330-3851
Entity
Organization
Contact information
Practice address
4440 N 36TH ST, SUITE 100, PHOENIX, AZ 85018-3588
(602) 952-8111
(602) 952-1572
Mailing address
4440 N 36TH ST, SUITE 100, PHOENIX, AZ 85018-3588
(602) 952-8111
(602) 952-1572
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
005722
AZ
Other
Enumeration date
10/08/2014
Last updated
10/15/2014
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