Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK OWENS SIPPERLEY, MD
ActiveDR. JACK OWENS SIPPERLEY, MD is a Sports Medicine (Emergency) healthcare provider located in PHOENIX, Arizona. NPI 1235130402 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · PHOENIX, AZ
Registration Details
- NPI Number
- 1235130402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (20.968100230427 yrs)
- Last Updated
- May 7, 2019
- Licenses
-
16167 (AZ)16167 (AZ)
Practice Information
- Address
-
4800 N 22ND STPHOENIX, AZ, 850164701Browse AZ providers · Browse ZIP 85016
- Phone
- 6029551000
- Fax
- 6025084830
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. ALAN J GORDON | MD | 1518959287 |
| DR. JOSEPH SHEPARD BRYAN | MD | 1881686558 |
| DR. SUHAIL ALAM | M.D. | 1316922818 |
| STEPHEN A.M. DESOUZA | M.D. | 1548232820 |
| DR. BRIAN K HORSMAN | MD | 1912963588 |
| JAIME R GAITAN | MD | 1275580573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.