Individual provider · Type 1 NPI

Antonio Teague

Medical Physician Assistant · Mesa, AZ

NPI number 1407540446 Active

Practice location

143 S 63rd St Ste 100
Mesa, AZ 85206-1623

Call (480) 835-6100 Map

Fax (480) 461-4243

Mailing address

6343 E Main St Ste 12
Mesa, AZ 85205-8955

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10813 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1407540446

Antonio Teague's National Provider Identifier is 1407540446, issued on Jun 5, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mesa, AZ. The record was last updated on Feb 23, 2026.