Organization
SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO J MATTALINO M.D. (PRESIDENT)
(480) 763-5950
Entity
Organization
Contact information
Practice address
8580 E SHEA BLVD, SCOTTSDALE, AZ 85260-6685
(480) 763-5950
(480) 763-1375
Mailing address
8580 E SHEA BLVD STE 120, SCOTTSDALE, AZ 85260-6684
(480) 763-5950
(480) 763-1375
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
09/28/2006
Last updated
01/18/2022
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