# MESOBEAUTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225226020
- **Authorized official:** KIRSTEN A SORENSEN (COMPLIANCE CONSULTANT)
- **Authorized official phone:** (602) 431-1152

## Contact information

- **Practice address:** 21827 N SCOTTSDALE RD, SCOTTSDALE, AZ 85255-7443
- **Practice address phone:** (480) 821-6376
- **Mailing address:** 4919 E HAZEL DR, SUITE 1, PHOENIX, AZ 85044-7776
- **Mailing address phone:** (602) 454-2144
- **Mailing address fax:** (602) 431-2149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 23328 | AZ | Yes |

## Other

- **Enumeration date:** 10/06/2007
- **Last updated:** 07/17/2008