Organization
SPORTS MEDICINE EXPRESS PLLC
Active
Organization
SPORTS MEDICINE EXPRESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SHORES M.D. (PHYSICIAN)
(480) 726-3440
Entity
Organization
Contact information
Practice address
2875 W RAY RD, SUITE 8, CHANDLER, AZ 85224-3524
(480) 726-3440
Mailing address
2875 W RAY RD, SUITE 6, BOX #405, CHANDLER, AZ 85224-3524
(480) 726-3440
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
01/07/2010
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