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Organization

MODERN SPORTS MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA ADAMS (OWNER)
(480) 306-6627
Entity
Organization

Contact information

Practice address
6242 E ARBOR AVE STE 101, MESA, AZ 85206-1309
(480) 878-4806
(480) 840-1672
Mailing address
6242 E ARBOR AVE STE 101, MESA, AZ 85206-1309
(803) 066-6274
(480) 306-6696

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
08/05/2020
Last updated
09/26/2024
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