East Valley Spine and Sports Medicine Center, PLC
East Valley Spine and Sports Medicine Center, PLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2007.
- Licensed in
- AZ
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
4858 E Baseline Rd Ste 107Mesa, AZ 85206-4638
Phone: (480) 807-6500
Fax: (866) 835-7591
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Specialties & licences
| Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081P2900X · Licence 33084 (AZ) |
|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence 33084 (AZ) |
Record details
| NPI number | 1659402998 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tutankhamen Pappoe — Owner And Physician · (480) 807-6500 |
| Other names | Tutankhamen Pappoe Md Plc |
| NPI enumerated | March 8, 2007 |
| Last updated in NPPES | June 16, 2015 |
| Mailing address | 4858 E Baseline Rd Ste 107, Mesa, AZ 85206-4638 |
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