Organization
MESQUITE HOSPITAL AND SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HERZOG CSA (OWNER)
(480) 706-9430
Entity
Organization
Contact information
Practice address
2852 S CARRIAGE LN, MESA, AZ 85202-7801
(480) 706-9430
Mailing address
PO BOX 40760, MESA, AZ 85274-0760
(480) 706-9430
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
37975
AZ
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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