Sport Institute of Tucson PC

NPI #1154389005 in Tucson, Arizona

Provider Information

NPI Number: 1154389005
Entity Type: Organization
Organization Name: Sport Institute of Tucson PC
Primary Specialty: Specialist
Enumeration Date: May 2, 2006
Last Updated: Aug 27, 2013

Practice Location

Address: 6369 E TANQUE VERDE RD
City: Tucson
State: Arizona
ZIP Code: 85715-3850
Phone: (520) 618-5500

Authorized Official

Name: DR. TY HOWARD ENDEAN, D.O.
Title: DIRECTOR/OWNER
Phone: (520) 618-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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