Organization
EAST VALLEY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A. WEST (CHIEF HEALTHCARE ADMINISTRATOR)
(480) 845-3132
Entity
Organization
Contact information
Practice address
10238 E HAMPTON AVE, SUITE 212, MESA, AZ 85209-3316
(480) 632-2004
Mailing address
10238 E HAMPTON AVE, SUITE 212, MESA, AZ 85209-3316
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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