Organization · Type 2 NPI

Provider Provider PC

General Practice Physician · Mesa, AZ

NPI number 1760969190 Active

Practice location

841 W 11th St
Mesa, AZ 85201-3109

Call (480) 461-9822 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Other general practice physician providers in Mesa

See all in Mesa →

About NPI 1760969190

Provider Provider PC's National Provider Identifier is 1760969190, issued on Jul 28, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mesa, AZ. The record was last updated on Dec 20, 2018.