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Organization
MESA CLINIC OF PHYSICIANS AND SURGEONS, PLLC.
Active
Organization
MESA CLINIC OF PHYSICIANS AND SURGEONS, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA BAKE (ADMINISTRATOR)
(480) 733-4401
Entity
Organization
Contact information
Practice address
606 N COUNTRY CLUB DR, #1, MESA, AZ 85201
(480) 969-3511
(480) 969-0976
Mailing address
606 N COUNTRY CLUB DR, #1, MESA, AZ 85201
(480) 733-4432
(480) 733-4447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
01/24/2008
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