Southwest Sports Medicine & Orthopaedic Surgery Clinic, Ltd.

NPI #1912140583 in Gilbert, Arizona

Provider Information

NPI Number: 1912140583
Entity Type: Organization
Organization Name: Southwest Sports Medicine & Orthopaedic Surgery Clinic, Ltd.
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHWEST SPORTS MEDICINE & ORTHOPAEDIC SURGERY
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 13, 2009
Last Updated: Feb 10, 2011

Practice Location

Address: 2730 SOUTH VAL VISTA
Address 2: STE. 117
City: Gilbert
State: Arizona
ZIP Code: 85295
Phone: (480) 763-5950

Authorized Official

Name: MR. ANGELO J. MATTALINO, MD
Title: OWNER
Phone: (480) 860-2618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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