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Organization

AT DIRECT SPORTS MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY ERICKSON AT (OWNER/ATHLETIC TRAINER)
(520) 235-0067
Entity
Organization

Contact information

Practice address
6424 E FAIRFIELD ST, MESA, AZ 85205-6042
(520) 235-0067
Mailing address
6424 E FAIRFIELD ST, MESA, AZ 85205-6042
(520) 235-0067

Taxonomy

Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
1318
AZ

Other

Enumeration date
09/15/2017
Last updated
07/21/2022
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