# PIERPONT FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeview Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104167154
- **Authorized official:** DR. JASON TODD FRYE DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (480) 284-8463

## Contact information

- **Practice address:** 4838 E BASELINE RD, SUITE 103, MESA, AZ 85206-4671
- **Practice address phone:** (480) 926-8000
- **Practice address fax:** (480) 926-3445
- **Mailing address:** 4838 E BASELINE RD, SUITE 103, MESA, AZ 85206-4671
- **Mailing address phone:** (480) 926-8000
- **Mailing address fax:** (480) 926-3445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3495 | AZ | Yes |

## Other

- **Enumeration date:** 03/14/2013
- **Last updated:** 03/14/2013