# MESA MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Backfit Health & Spine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124389770
- **Authorized official:** DR. MARK A ZITNIK DC (OWNER)
- **Authorized official phone:** (480) 830-2882

## Contact information

- **Practice address:** 5233 E SOUTHERN AVE, SUITE \#104, MESA, AZ 85206-3625
- **Practice address phone:** (480) 820-2882
- **Practice address fax:** (480) 830-2881
- **Mailing address:** 1450 W GUADALUPE RD, SUITE \#120, GILBERT, AZ 85233-3042
- **Mailing address phone:** (480) 926-7800
- **Mailing address fax:** (480) 926-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 7150 | AZ | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 07/07/2020