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Organization
EAST VALLEY CRITICAL CARE ASSOCIATES, P.C.
Active
Organization
EAST VALLEY CRITICAL CARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BASS (PRACTICE MANAGER)
(602) 717-4751
Entity
Organization
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Mailing address
6750 E BAYWOOD AVE, SUITE 507, MESA, AZ 85206-1749
(480) 835-7111
(480) 218-5706
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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