Organization
EVEREST MEDICAL GROUP INC
Active
Other names
Everest Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY RUDDELL DC (CEO)
(480) 510-9475
Entity
Organization
Contact information
Practice address
4864 E BASELINE RD STE 105, MESA, AZ 85206-4629
(480) 558-1900
(480) 633-6086
Mailing address
4864 E BASELINE RD STE 105, MESA, AZ 85206-4629
(480) 558-1900
(480) 633-6086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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