Organization
MODERN SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ADAMS (OWNER)
(480) 306-6627
Entity
Organization
Contact information
Practice address
10450 E RIGGS RD STE 104, SUN LAKES, AZ 85248-7759
(502) 415-2836
Mailing address
10450 E RIGGS RD STE 104, SUN LAKES, AZ 85248-7759
(502) 415-2836
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/24/2019
Last updated
08/19/2025
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