Individual
MR. MANUEL FELIX MEJIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-4765
Mailing address
7559 W SAN JUAN AVE, GLENDALE, AZ 85303-5121
(602) 406-4765
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP4337
AZ
363LF0000X
Family Nurse Practitioner
AP2727
AZ
Other
Enumeration date
02/22/2008
Last updated
09/04/2012
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