Organization
AZ SPORTS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA G. SELTZER M.D. (OWNER)
(623) 547-7502
Entity
Organization
Contact information
Practice address
7797 W. PARADISE LANE SUITE 130, PHOENIX, AZ 85382-3588
(623) 547-7502
(623) 414-3503
Mailing address
7797 W. PARADISE LANE SUITE 130, PEORIA, AZ 85382
(623) 547-7502
(623) 414-3503
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
11/05/2018
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