Organization
EAST VALLEY VACCINATION AND EXAMINATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD T KUHN (ADMINISTRATOR)
(480) 833-0554
Entity
Organization
Contact information
Practice address
110 S MESA DR, SUITE 2, MESA, AZ 85210
(480) 833-0554
Mailing address
110 S MESA DR, SUITE 2, MESA, AZ 85210
(480) 833-0554
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP4435
AZ
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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