Ptr Sports, a Medical Corporation
NPI #1083750764 in Santa Clara, California
Provider Information
- NPI Number
- 1083750764
- Entity Type
- Organization
- Organization Name
- Ptr Sports, a Medical Corporation
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Oct 28, 2008
Practice Location
- Address
- 1825 CIVIC CENTER DR
- Address 2
- SUITE 25
- City
- Santa Clara
- State
- California
- ZIP Code
- 95050-7301
- Phone
- (408) 404-4700
Authorized Official
- Name
- JEFFREY G BLUE, M.D.
- Title
- PRESIDENT
- Phone
- (408) 404-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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