institution
All Sports Foundation, Inc
Health Service Clinic/Center in Mesa, Arizona
NPI 1699912360

All Sports Foundation, Inc is a Health Service Clinic/Center based in Mesa, AZ and is specialized in Health Service. All Sports Foundation, Inc practices in Mesa, AZ. The NPI Number for All Sports Foundation, Inc is 1699912360 and holds a License No. (Arizona).

The current practice location address for All Sports Foundation, Inc is 322 E Brown Rd Ste 103, Mesa, AZ and can be reached out via phone at 480-964-3013 and via fax at 480-694-1644.

Location: 322 E Brown Rd Ste 103, Mesa, AZ, 85201-3563
institution
Provider Profile Details
NPI Number
1699912360
Provider Name
All Sports Foundation, Inc
Credential
Provider Entity Type
Organization
Address
322 E Brown Rd Ste 103, Mesa, AZ, 85201-3563
Phone Number
480-964-3013
Fax Number
480-694-1644
Provider Enumeration Date
01/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261QH0100X 01 AZ BLUE CROSS/BLUE SHIELD
261QH0100X 01 AZ MEDICARE
261QH0100X 01 AZ PACIFICARE
261QH0100X 01 AZ AETNA US HEALTH CARE
261QH0100X 01 MAYO HEALTH PLAN OF ARIZONA
261QH0100X 01 AZ HEALTHNET
261QH0100X 01 AZ UNITED HEALTHCARE
261QH0100X 01 AZ CIGNA HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
322 E Brown Rd Ste 103
City
State
Zip
85201-3563
Phone Number
480-964-3013
Fax Number
480-694-1644
person
Provider Business Mailing Address Details
Address
322 E Brown Rd Ste 103
City
State
Zip
85201-3563
Phone Number
480-964-3013
Fax Number
480-694-1644
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
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Definition
Definition to come...
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