Organization
MESA PHYSICAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT TAYLOR D.C. (CEO)
(480) 907-1322
Entity
Organization
Contact information
Practice address
2919 S ELLSWORTH RD, SUITE 102, MESA, AZ 85212-2164
(480) 354-2008
Mailing address
2919 S ELLSWORTH RD, SUITE 102, MESA, AZ 85212-2164
(480) 354-2008
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP4338
AZ
Other
Enumeration date
07/22/2016
Last updated
09/30/2016
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