Organization
PURE SPORTS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATMAN REYES MD (PRESIDENT)
(805) 815-3399
Entity
Organization
Contact information
Practice address
4300 TRADEWINDS DR STE 300, OXNARD, CA 93035-1458
(805) 815-3399
Mailing address
4300 TRADEWINDS DR STE 300, OXNARD, CA 93035-1458
(805) 815-3399
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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