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Dessalines Sports Medicine, Llc
Clinic/Center in Mesa, Arizona
NPI 1407321581

Dessalines Sports Medicine, Llc is a Clinic/Center based in Mesa, AZ. Dessalines Sports Medicine, Llc practices in Mesa, AZ. The NPI Number for Dessalines Sports Medicine, Llc is 1407321581 and holds a License No. (Arizona).

The current practice location address for Dessalines Sports Medicine, Llc is 6424 E Broadway Rd Ste 102, Mesa, AZ and can be reached out via phone at 480-634-4606.

Location: 6424 E Broadway Rd Ste 102, Mesa, AZ, 85206-1750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407321581
Provider Name
Dessalines Sports Medicine, Llc
Credential
Provider Entity Type
Organization
Address
6424 E Broadway Rd Ste 102, Mesa, AZ, 85206-1750
Phone Number
480-634-4606
Fax Number
Provider Enumeration Date
10/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6424 E Broadway Rd Ste 102
City
Mesa
State
Arizona
Zip
85206-1750
Phone Number
480-634-4606
Fax Number
person
Provider Business Mailing Address Details
Address
6424 E Broadway Rd Ste 102
City
Mesa
State
Arizona
Zip
85206-1750
Phone Number
480-634-4606
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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