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“Sports Medicine (physical Medicine & Rehabilitation) Physician” (Surprise, AZ)

Location: Surprise, AZ
Taxonomy: Sports Medicine (physical Medicine & Rehabilitation) Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1245455666 — DAVID IANNICCA ATC
Practice Location Address:
15946 N BULLARD AVE
SURPRISE AZ
85374-8844
Practice Phone: 816-277-2954
1306333182 — GAVIN GROSH
Practice Location Address:
15946 N BULLARD AVE
SURPRISE AZ
85374-8844
Practice Phone: 816-382-5753
1306435854 — MOUNTAINSIDE FITNESS ACQUISITIONS, LLC
Practice Location Address:
15455 W BELL RD
SURPRISE AZ
85374-3411
Practice Phone: 623-889-0374
1356169643 — MODERN SPORTS MEDICINE LLC
Practice Location Address:
12515 W BELL RD STE 103
SURPRISE AZ
85378-9702
Practice Phone: 480-306-6627

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