Organization
HEALTHCARE CAMPUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE KAY FELIX (CREDENTIALING)
(928) 961-3921
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD STE 110, MESA, AZ 85206-4674
(480) 969-4040
(480) 295-3722
Mailing address
4838 E BASELINE RD STE 110, MESA, AZ 85206-4674
(480) 969-4040
(480) 295-3722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
—
122300000X
Dentist
—
—
133V00000X
Registered Dietitian
—
—
152W00000X
Optometrist
—
—
173F00000X
Sleep Specialist (PhD)
—
—
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/20/2020
Last updated
10/11/2020
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