Organization
MEZONA ORTHOPAEDIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE MARIE PROCKNOW (PRACTICE ADMINISTRATOR)
(480) 964-2908
Entity
Organization
Contact information
Practice address
2940 E BANNER GATEWAY DR, SUITE 200, GILBERT, AZ 85234-2168
(480) 964-2908
(480) 833-2136
Mailing address
2940 E BANNER GATEWAY DR, SUITE 200, GILBERT, AZ 85234-2168
(480) 964-2908
(480) 833-2136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
02/04/2008
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