Organization
EAST VALLEY CRITICAL CARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BASS (PRACTICE MANAGER)
(602) 717-4751
Entity
Organization
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 358-6100
Mailing address
6750 E BAYWOOD AVE, SUITE 507, MESA, AZ 85206-1749
(480) 835-7111
(480) 218-5706
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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