Mesa Physician Group
Mesa Physician Group is a General Practice Physician in Mesa, Arizona. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5151 E Broadway Rd Ste 105Mesa, AZ 85206-1346
Phone: (480) 809-6587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1104447788 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremiah Faber — Ceo · (480) 258-3635 |
| NPI enumerated | May 5, 2020 |
| Last updated in NPPES | May 6, 2020 |
| Certification date | May 6, 2020 |
| Mailing address | Po Box 964, Gilbert, AZ 85299-0964 |
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