Organization
MATTALINO ORTHOPAEDIC SPORTS SURGICAL SPECIALISTS, LLC
Active
Organization
MATTALINO ORTHOPAEDIC SPORTS SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO MATTALINO MD (OWNER)
(602) 321-5896
Entity
Organization
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 425, PHOENIX, AZ 85016-4872
(602) 667-6640
(602) 667-6625
Mailing address
2222 E HIGHLAND AVE, SUITE 425, PHOENIX, AZ 85016-4872
(602) 667-6640
(602) 667-6625
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
17728
AZ
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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