# MESA CENTER FOR FAMILY MEDICINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIME MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497382501
- **Legal business name:** PRIME MEDICAL GROUP
- **Authorized official:** MARK SCHLOTTERBACK MD (OWNER)
- **Authorized official phone:** (602) 525-8663

## Contact information

- **Practice address:** 2034 S ALMA SCHOOL ROAD, SUITE \#101, MESA, AZ 85210
- **Practice address phone:** (602) 525-8663
- **Mailing address:** 2034 S ALMA SCHOOL ROAD, SUITE \#101, MESA, AZ 85210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 03/26/2020
- **Last updated:** 03/26/2020