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Physical Medicine Of Mesa Llc
General Practice Physician in Mesa, Arizona
NPI 1952917205

Physical Medicine Of Mesa Llc is a General Practice Physician based in Phoenix, AZ. Physical Medicine Of Mesa Llc practices in Mesa, AZ. The NPI Number for Physical Medicine Of Mesa Llc is 1952917205 and holds a License No. (Arizona).

The current practice location address for Physical Medicine Of Mesa Llc is 3614 E Southern Ave Ste 105, Mesa, AZ and can be reached out via phone at 602-354-5310.

Location: 3614 E Southern Ave Ste 105, Mesa, AZ, 85050-4242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952917205
Provider Name
Physical Medicine Of Mesa Llc
Credential
Provider Entity Type
Organization
Address
3614 E Southern Ave Ste 105, Mesa, AZ, 85050-4242
Phone Number
602-354-5310
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3614 E Southern Ave Ste 105
City
Mesa
State
Arizona
Zip
85206-2510
Phone Number
602-354-5310
Fax Number
person
Provider Business Mailing Address Details
Address
3614 E Southern Ave Ste 105
City
Mesa
State
Arizona
Zip
85206-2510
Phone Number
602-354-5310
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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