institution
Roxanne R Domek, Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, Arizona
NPI 1982356077

Roxanne R Domek, Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Mesa, AZ and is specialized in Mental Health (Including Community Mental Health Center). Roxanne R Domek, Pllc practices in Mesa, AZ. The NPI Number for Roxanne R Domek, Pllc is 1982356077 and holds a License No. (Arizona).

The current practice location address for Roxanne R Domek, Pllc is 3707 E Southern Ave Ste 1066, Mesa, AZ and can be reached out via phone at 480-823-0360.

Location: 3707 E Southern Ave Ste 1066, Mesa, AZ, 85206-6206
institution
Provider Profile Details
NPI Number
1982356077
Provider Name
Roxanne R Domek, Pllc
Credential
Provider Entity Type
Organization
Address
3707 E Southern Ave Ste 1066, Mesa, AZ, 85206-6206
Phone Number
480-823-0360
Fax Number
Provider Enumeration Date
01/20/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790819027 01 ND TYPE I NPI
institution
Provider Business Practice Location Address Details
Address
3707 E Southern Ave Ste 1066
City
State
Zip
85206-6206
Phone Number
480-823-0360
Fax Number
person
Provider Business Mailing Address Details
Address
3707 E Southern Ave Ste 1066
City
State
Zip
85206-6206
Phone Number
480-823-0360
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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