Organization
SW SPORTS MEDICINE & ORTHOPEDIC SURGERY
Active
Parent organization
SOUTHWEST SPORTS MEDICINE & ORTHOPEDIC SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST SPORTS MEDICINE & ORTHOPEDIC SURGERY
Authorized official
MR. ANGELO J. MATTALINO MD (OWNER)
(480) 860-2618
Entity
Organization
Contact information
Practice address
2835 E. BROWN RD., STE. 101, MESA, AZ 85213
(480) 860-2618
(480) 998-3879
Mailing address
8129 N. 87TH PLACE, SCOTTSDALE, AZ 85258
(480) 860-2618
(480) 998-3879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3696
AZ
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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