Country Club Medical Group P C
Country Club Medical Group P C is a Family Medicine Physician in Mesa, Arizona. Registered with an NPI since 2005.
- In the registry since
- 2005
Practice location Address checks out
1950 S Country Club DrMesa, AZ 85210-6008
Phone: (480) 969-1446
Fax: (480) 969-9105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1649256777 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Silvia O'Leary — Office Manager · (480) 969-1446 |
| Other names | Southeast Valley Medical Group |
| NPI enumerated | December 20, 2005 |
| Last updated in NPPES | June 22, 2010 |
| Mailing address | 1950 S Country Club Dr, Mesa, AZ 85210-6008 |
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