Organization
EAST VALLEY SPINE AND SPORTS MEDICINE CENTER, PLC
Active
Other names
Tutankhamen Pappoe MD PLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUTANKHAMEN ALLOTEY PAPPOE M.D. (OWNER AND PHYSICIAN)
(480) 807-6500
Entity
Organization
Contact information
Practice address
4858 E BASELINE RD, SUITE 107, MESA, AZ 85206-4638
(480) 807-6500
(866) 835-7591
Mailing address
4858 E BASELINE RD STE 107, MESA, AZ 85206-4638
(480) 807-6500
(866) 835-7591
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
33084
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
33084
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
873671
—
AZ
Enumeration date
03/08/2007
Last updated
06/16/2015
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