Individual
GEORGE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-1097
(602) 639-6038
(602) 589-2305
Mailing address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-1097
(602) 639-6038
(602) 589-2305
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
000348
AZ
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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