Organization
MODERN DISC & SPORTS LLC
Active
Other names
Associated Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA BECKER (MANAGER)
(602) 481-7369
Entity
Organization
Contact information
Practice address
100 S MCCLINTOCK DR STE 100, CHANDLER, AZ 85226-4816
(602) 481-7369
(480) 452-1464
Mailing address
3317 S HIGLEY RD STE 114, GILBERT, AZ 85297-5437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
04/07/2020
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