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Organization

PULMONARY ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CECILIA JENKINS (ASSISTANT ADMINISTRATOR)
(480) 290-7000
Entity
Organization

Contact information

Practice address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(480) 325-3461
Mailing address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(602) 254-6840

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055170
AZ
Enumeration date
09/21/2006
Last updated
10/07/2025
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