Organization
MAYO CLINIC ARIZONA
Active
Other names
MAYO CLINIC SPORTS MEDICINE-RIVER
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PAUL JACKSON (CFO)
(480) 574-3055
Entity
Organization
Contact information
Practice address
58 S RIVER DR STE 160, TEMPE, AZ 85288-3770
(480) 574-2900
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
04/15/2026
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