Organization
MESA FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MARLO LEVISON (OWNER/MANAGER)
(480) 280-1134
Entity
Organization
Contact information
Practice address
1242 E MCKELLIPS RD, 103, MESA, AZ 85203-2763
(480) 280-1134
Mailing address
1242 E MCKELLIPS RD, 103, MESA, AZ 85203-2763
(480) 280-1134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2011
Last updated
02/23/2011
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