Organization
SONORAN SPORTS & FAMILY MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TODD DAVIS MD (OWNER)
(480) 802-1300
Entity
Organization
Contact information
Practice address
3930 S ALMA SCHOOL RD, SUITE 8, CHANDLER, AZ 85248-4510
(480) 802-1300
(480) 802-1359
Mailing address
3930 S ALMA SCHOOL RD, SUITE 8, CHANDLER, AZ 85248-4510
(480) 802-1300
(480) 802-1359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30501
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926876
—
AZ
Enumeration date
02/01/2008
Last updated
05/19/2008
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