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Brent D. Sloten D.o. Pllc
Medical Specialty Clinic/Center in Mesa, Arizona
NPI 1467595504

Brent D. Sloten D.o. Pllc is a Medical Specialty Clinic/Center based in Scottsdale, AZ and is specialized in Medical Specialty. Brent D. Sloten D.o. Pllc practices in Mesa, AZ. The NPI Number for Brent D. Sloten D.o. Pllc is 1467595504 and holds a License No. 3368 (Arizona).

The current practice location address for Brent D. Sloten D.o. Pllc is 1818 E Baseline Rd, Mesa, AZ and can be reached out via phone at 480-981-1214 and via fax at 480-981-1625.

Location: 1818 E Baseline Rd, Mesa, AZ, 85261-4880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467595504
Provider Name
Brent D. Sloten D.o. Pllc
Credential
Provider Entity Type
Organization
Address
1818 E Baseline Rd, Mesa, AZ, 85261-4880
Phone Number
480-981-1214
Fax Number
480-981-1625
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3368 01 AZ MEDICAL LICENSE
1073585402 01 AZ PERSONAL NPI
institution
Provider Business Practice Location Address Details
Address
1818 E Baseline Rd
City
Mesa
State
Arizona
Zip
85204-6814
Phone Number
480-981-1214
Fax Number
480-981-1625
person
Provider Business Mailing Address Details
Address
1818 E Baseline Rd
City
Mesa
State
Arizona
Zip
85204-6814
Phone Number
480-981-1214
Fax Number
480-981-1625
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
3368 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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