# PIERPONT MEDICAL GROUP, LTD

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

## Provider details

- **NPI number:** 1548389265
- **Authorized official:** MS. ROBIN LYNN NICE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (480) 830-1040

## Contact information

- **Practice address:** 4852 E BASELINE RD, SUITE \#103, MESA, AZ 85206-4627
- **Practice address phone:** (480) 830-1040
- **Practice address fax:** (480) 981-3130
- **Mailing address:** 9221 E BASELINE RD, SUITE A109, \#289, MESA, AZ 85209-8310
- **Mailing address phone:** (480) 830-1040
- **Mailing address fax:** (480) 981-3130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14449 | AZ | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020