Organization
MESA CLINIC OF PHYSICIANS AND SURGEONS, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA BAKE (ADMINISTRATOR)
(480) 733-4401
Entity
Organization
Contact information
Practice address
606 N COUNTRY CLUB DR, #1, MESA, AZ 85201
(480) 969-3511
(480) 969-0976
Mailing address
606 N COUNTRY CLUB DR, #1, MESA, AZ 85201
(480) 733-4432
(480) 733-4447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
01/24/2008
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