Organization
MCKELLIPS INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B EVANS II MD (MEDICAL DIRECTOR)
(602) 791-9112
Entity
Organization
Contact information
Practice address
3049 E MCKELLIPS RD STE 5, MESA, AZ 85213-3144
(480) 830-1553
(480) 981-2442
Mailing address
13840 N NORTHSIGHT BLVD STE 121, SCOTTSDALE, AZ 85260-3665
(480) 588-6924
(480) 634-5819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37616
AZ
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/17/2016
Last updated
08/30/2022
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