Provider Demographics
NPI:1477318012
Name:GIARDINA SPORTS MEDICINE CONSULTANTS, INC.
Entity Type:Organization
Organization Name:GIARDINA SPORTS MEDICINE CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:GIARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-499-1139
Mailing Address - Street 1:PO BOX 71846
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1015
Mailing Address - Country:US
Mailing Address - Phone:480-272-7140
Mailing Address - Fax:
Practice Address - Street 1:245 E BELL RD STE 58
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-6318
Practice Address - Country:US
Practice Address - Phone:602-843-8486
Practice Address - Fax:602-843-8488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy