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Robert Inzunza Llc
Medical Physician Assistant in Mesa, Arizona
NPI 1578196606

Robert Inzunza Llc is a Medical Physician Assistant based in Mesa, AZ and is specialized in Medical. Robert Inzunza Llc practices in Mesa, AZ. The NPI Number for Robert Inzunza Llc is 1578196606 and holds a License No. (Arizona).

The current practice location address for Robert Inzunza Llc is 5116 S Salk Ln, Mesa, AZ and can be reached out via phone at 661-221-2552 and via fax at 323-313-0317.

Location: 5116 S Salk Ln, Mesa, AZ, 85212-8005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578196606
Provider Name
Robert Inzunza Llc
Credential
Provider Entity Type
Organization
Address
5116 S Salk Ln, Mesa, AZ, 85212-8005
Phone Number
661-221-2552
Fax Number
323-313-0317
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
254343 05 AZ
institution
Provider Business Practice Location Address Details
Address
5116 S Salk Ln
City
Mesa
State
Arizona
Zip
85212-8005
Phone Number
661-221-2552
Fax Number
323-313-0317
person
Provider Business Mailing Address Details
Address
5116 S Salk Ln
City
Mesa
State
Arizona
Zip
85212-8005
Phone Number
661-221-2552
Fax Number
323-313-0317
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Local Education Agency (LEA)
Speciality
-
Taxonomy
251300000X
License No.
()
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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