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Mountain Vista Medical Group Pllc
Specialist in Mesa, Arizona
NPI 1336500198

Mountain Vista Medical Group Pllc is a Specialist based in Mesa, AZ. Mountain Vista Medical Group Pllc practices in Mesa, AZ. The NPI Number for Mountain Vista Medical Group Pllc is 1336500198 and holds a License No. 36884 (Arizona).

The current practice location address for Mountain Vista Medical Group Pllc is 10238 E Hampton Ave, Mesa, AZ and can be reached out via phone at 480-984-5600 and via fax at 480-984-3852.

Location: 10238 E Hampton Ave, Mesa, AZ, 85209-3316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336500198
Provider Name
Mountain Vista Medical Group Pllc
Credential
Provider Entity Type
Organization
Address
10238 E Hampton Ave, Mesa, AZ, 85209-3316
Phone Number
480-984-5600
Fax Number
480-984-3852
Provider Enumeration Date
03/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
224192 05 AZ
institution
Provider Business Practice Location Address Details
Address
10238 E Hampton Ave
City
Mesa
State
Arizona
Zip
85209
Phone Number
480-984-5600
Fax Number
480-984-3852
person
Provider Business Mailing Address Details
Address
10238 E Hampton Ave
City
Mesa
State
Arizona
Zip
85209
Phone Number
480-984-5600
Fax Number
480-984-3852
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36884 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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