is a Sports Medicine in , . practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for is 1114077278. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Address | , , |
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1114077278 |
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Provider Mailing Address Detail
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State | () |
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Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Qs0010X |
Licence No | 50369 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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51705729 | CO | -- |
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