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Organization
PIERPONT FAMILY MEDICINE
Active
Organization
PIERPONT FAMILY MEDICINE
Active
Other names
Lakeview Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON TODD FRYE DO (OWNER/PHYSICIAN)
(480) 284-8463
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD, SUITE 103, MESA, AZ 85206-4671
(480) 926-8000
(480) 926-3445
Mailing address
4838 E BASELINE RD, SUITE 103, MESA, AZ 85206-4671
(480) 926-8000
(480) 926-3445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3495
AZ
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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