Sparcc Professional Corporation

NPI #1003275413 in Tucson, Arizona

Provider Information

NPI Number: 1003275413
Entity Type: Organization
Organization Name: Sparcc Professional Corporation
Primary Specialty: Pediatrics - Sports Medicine
Enumeration Date: Feb 12, 2016
Last Updated: May 13, 2025

Practice Location

Address: 5199 E FARNESS DR
Address 2: STE 101
City: Tucson
State: Arizona
ZIP Code: 85712-5617
Phone: (520) 222-8076

Authorized Official

Name: DR. MOHAMMED MORTAZAVI, MD
Title: DIRECTOR
Phone: (520) 222-8076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X
Internal Medicine - Sports Medicine — Sports Medicine	207RS0010X
Pediatrics	208000000X
Pediatrics - Sports Medicine — Sports Medicine	2080S0010X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Michael Ralph Stilson, M.D.	Pediatrics - Sports Medicine	Tucson	AI Deep Dive
DR. Mohammed Mortazavi, MD	Pediatrics - Sports Medicine	Tucson	AI Deep Dive
DR. Randon Trenere Hall, M.D.	Pediatrics - Sports Medicine	Phoenix	AI Deep Dive

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Provider Name	Specialty	City
Peterson Pt LLC	Pediatrics - Sports Medicine	Prescott	AI Deep Dive
Arizona Sports Medicine Consultants PC	Pediatrics - Sports Medicine	Phoenix	AI Deep Dive

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