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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