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Organization
MOUNTAIN VISTA MEDICAL CENTER
Active
Organization
MOUNTAIN VISTA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD EARL WADE FNP (FAMILY NURSE PRACTITIONER)
(480) 283-7534
Entity
Organization
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Mailing address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
AP3524
AZ
Other
Enumeration date
02/02/2010
Last updated
08/20/2010
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