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

Tempe Advanced Support Group PLLC

Organization Surgery Physician · NPI 1700576857

Tempe Advanced Support Group PLLC is a Surgery Physician in Mesa, Arizona. Registered with an NPI since 2023.

In the registry since
2023
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

4860 E Baseline Rd Ste 105
Mesa, AZ 85206-4670
Phone: (480) 485-8585
Fax: (480) 302-7818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1700576857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Debarros — Owner/Provider · (480) 485-8585
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing addressPo Box 40640, Mesa, AZ 85274-0640

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