# RED MOUNTAIN FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1720207087
- **Authorized official:** LISA SMITH (BILLING MGR)
- **Authorized official phone:** (480) 854-7123

## Contact information

- **Practice address:** 1635 N GREENFIELD RD, \#134, MESA, AZ 85205
- **Practice address phone:** (480) 854-7123
- **Practice address fax:** (480) 854-7627
- **Mailing address:** 1635 N GREENFIELD RD, \#134, MESA, AZ 85205
- **Mailing address phone:** (480) 854-7123
- **Mailing address fax:** (480) 854-7627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2866 | AZ | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 10/02/2007