Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mesa Clinic of Physicians and Surgeons, PLLC

Organization Family Medicine Physician · NPI 1063603470

Mesa Clinic of Physicians and Surgeons, PLLC is a Family Medicine Physician in Mesa, Arizona. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

606 N Country Club Dr #1
Mesa, AZ 85201
Phone: (480) 969-3511
Fax: (480) 969-0976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063603470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Bake — Administrator · (480) 733-4401
NPI enumeratedAugust 9, 2007
Last updated in NPPESJanuary 24, 2008
Mailing address606 N Country Club Dr, 1, Mesa, AZ 85201

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