Organization
INTERNAL MEDICINE AND INFUSION CLINIC OF SOUTHERN ARIZONA
Active
Organization
INTERNAL MEDICINE AND INFUSION CLINIC OF SOUTHERN ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMTILA J MWEI NURSE PRACTIONER (OWNER NP)
(734) 961-2979
Entity
Organization
Contact information
Practice address
1910 S STAPLEY DR STE 120, MESA, AZ 85204-6676
(734) 961-2979
Mailing address
7531 E BILLINGS ST UNIT 147, MESA, AZ 85207-7592
(734) 961-2979
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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