# MESA HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1629595756
- **Authorized official:** DR. TIMOTHY WARREN DC (AUTHORIZED OFFICAL)
- **Authorized official phone:** (316) 882-5353

## Contact information

- **Practice address:** 1750 S RAILROAD SPRINGS BLVD STE 3, FLAGSTAFF, AZ 86001-8720
- **Practice address phone:** (316) 882-5353
- **Mailing address:** 1750 S RAILROAD SPRINGS BLVD STE 3, FLAGSTAFF, AZ 86001-8720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 03/17/2018