Organization
MOUNTAIN VISTA MEDICAL GROUP PLLC
Active
Other names
RALPH A D'SILVA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH A D'SILV M.D. (OWNER)
(480) 528-9698
Entity
Organization
Contact information
Practice address
10238 E HAMPTON AVE, SUITE 205, MESA, AZ 85209
(480) 984-5600
(480) 984-3852
Mailing address
10238 E HAMPTON AVE, SUITE 205, MESA, AZ 85209-3316
(480) 984-5600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36884
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224192
—
AZ
Enumeration date
03/08/2016
Last updated
03/08/2016
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