# EAST MESA FAMILY DOCTORS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Mall of Arizona Family Practice PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508310665
- **Authorized official:** STACY DEANN VELDHUIZEN MICKEY (MD/OWNER)
- **Authorized official phone:** (480) 999-0049

## Contact information

- **Practice address:** 7165 E UNIVERSITY DR STE 101, MESA, AZ 85207-6400
- **Practice address phone:** (480) 999-0049
- **Practice address fax:** (866) 918-8525
- **Mailing address:** 7165 E UNIVERSITY DR STE 101, MESA, AZ 85207-6400
- **Mailing address phone:** (480) 999-0049
- **Mailing address fax:** (866) 918-8525

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2016
- **Last updated:** 12/14/2022