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Organization

MESA CENTER FOR FAMILY MEDICINE

Active
Parent organization
PRIME MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRIME MEDICAL GROUP
Authorized official
MARK SCHLOTTERBACK MD (OWNER)
(602) 525-8663
Entity
Organization

Contact information

Practice address
2034 S ALMA SCHOOL ROAD, SUITE #101, MESA, AZ 85210
(602) 525-8663
Mailing address
2034 S ALMA SCHOOL ROAD, SUITE #101, MESA, AZ 85210

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RS0010X
Sports Medicine (Internal Medicine) Physician

Other

Enumeration date
03/26/2020
Last updated
03/26/2020
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