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Modocurogyn, Pllc
Specialist in Mesa, Arizona
NPI 1538445812

Modocurogyn, Pllc is a Specialist based in Mesa, AZ. Modocurogyn, Pllc practices in Mesa, AZ. The NPI Number for Modocurogyn, Pllc is 1538445812 and holds a License No. 35205 (Arizona).

The current practice location address for Modocurogyn, Pllc is 6632 E. Baseline Rd, Mesa, AZ and can be reached out via phone at 480-889-2654 and via fax at 480-699-1022.

Location: 6632 E. Baseline Rd, Mesa, AZ, 85206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538445812
Provider Name
Modocurogyn, Pllc
Credential
Provider Entity Type
Organization
Address
6632 E. Baseline Rd, Mesa, AZ, 85206
Phone Number
480-889-2654
Fax Number
480-699-1022
Provider Enumeration Date
10/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
094866 05 AZ
663388 05 AZ
institution
Provider Business Practice Location Address Details
Address
6632 E. Baseline Rd
City
Mesa
State
Arizona
Zip
85206
Phone Number
480-889-2654
Fax Number
480-699-1022
person
Provider Business Mailing Address Details
Address
6632 E. Baseline Rd
City
Mesa
State
Arizona
Zip
85206
Phone Number
480-889-2654
Fax Number
480-699-1022
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35205 (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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