Israel Aspericueta
Specialist/Technologist, Athletic Trainer in Phoenix, AZ. Individual provider (NPI-1).
NPI number1689182628
StatusActive
Last updated in NPPESJan 11, 2018
Details
- NPI
- 1689182628
- Entity type
- Individual (NPI-1)
- Name
- Israel Aspericueta
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2018
- Last updated
- Jan 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0966 | AZ | Yes |
Practice location
2625 E Cactus RdPhoenix, AZ 85032-7042
Phone 602-489-5300 · Fax 602-489-5300
Mailing address
3514 W Voltaire AvePhoenix, AZ 85029-2117
Phone 602-885-2648
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