Organization · NPI-2

Accident & Injury Solutions

General Practice · Phoenix, AZ

NPI number1154832277
StatusActive
Last updated in NPPESOct 16, 2017

Details

NPI
1154832277
Entity type
Organization (NPI-2)
Legal business name
Accident & Injury Solutions
Organization subpart
No
Enumeration date
Oct 16, 2017
Last updated
Oct 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes
204C00000X Neuromusculoskeletal Medicine, Sports Medicine4105AZ
207QS0010X Family Medicine, Sports Medicine4105AZ

Practice location

701 W Glendale Ave
Phoenix, AZ 85021-8629

Phone 602-466-9664 · Fax 602-391-2617

Mailing address

Po Box 75573
Phoenix, AZ 85087-1029

Phone 602-466-9664 · Fax 602-391-2617

Authorized official

Jojo Degroot
Administrator
6024669664

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