Ptr Sports, A Medical Corporation in Santa Clara - Sports Medicine
Ptr Sports, A Medical Corporation - NPI 1083750764
Ptr Sports, A Medical Corporation is a Sports Medicine in Santa Clara, California. Ptr Sports, A Medical Corporation practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Ptr Sports, A Medical Corporation is 1083750764. The last update date is 2008-10-28.
Ptr Sports, A Medical Corporation's current location address is 1825 Civic Center Dr, Santa Clara, California. You can contact this provider via phone number 4084044700 and fax number 4084044701. The mailing address for Ptr Sports, A Medical Corporation is 1825 Civic Center Dr, Santa Clara, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ptr Sports, A Medical Corporation |
|---|---|
| Address | 1825 Civic Center Dr, Santa Clara, California |
| Phone Number | 4084044700 |
| Fax Number | 4084044701 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blue G Jeffrey |
| Credentials | M.D. |
| Telephone Number | 4084044700 |
NPI Number Detail
| NPI Number | 1083750764 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2008-10-28 |
Provider Mailing Address Detail
| Address | 1825 Civic Center Dr |
|---|---|
| City | Santa Clara |
| State | California (CA) |
| Post Code | 950507301 |
| Phone Number | 4084044700 |
| Fax Number | 4084044701 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the Ptr Sports, A Medical Corporation's 1083750764?
The Ptr Sports, A Medical Corporation's NPI (National Provider Identifier) Number is 1083750764. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ptr Sports, A Medical Corporation's facilities are geographically located?
The facilities of Ptr Sports, A Medical Corporation are physically situated at the following location: 1825 Civic Center Dr, Santa Clara, CA, 950507301.
What is Ptr Sports, A Medical Corporation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ptr Sports, A Medical Corporation is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qs0010X.
When was the Ptr Sports, A Medical Corporation's 1083750764 issued?
The Ptr Sports, A Medical Corporation's 1083750764 was issued on 2007-01-29.
When was the information related to Ptr Sports, A Medical Corporation most recently updated or refreshed?
The details pertaining to the Ptr Sports, A Medical Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-28.