Organization · Type 2 NPI

Magnolia Health & Wellness

Adult Medicine Physician · Mesa, AZ

NPI number 1700606563 Active

Practice location

11052 E Serafina Ave
Mesa, AZ 85212-5193

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1700606563

Magnolia Health & Wellness's National Provider Identifier is 1700606563, issued on Oct 15, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Mesa, AZ. The record was last updated on Oct 15, 2024.