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Organization

EAST MESA FAMILY DOCTORS PLLC

Active
Other names
Medical Mall of Arizona Family Practice PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
STACY DEANN VELDHUIZEN MICKEY (MD/OWNER)
(480) 999-0049
Entity
Organization

Contact information

Practice address
7165 E UNIVERSITY DR STE 101, MESA, AZ 85207-6400
(480) 999-0049
(866) 918-8525
Mailing address
7165 E UNIVERSITY DR STE 101, MESA, AZ 85207-6400
(480) 999-0049
(866) 918-8525

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ

Other

Enumeration date
08/06/2016
Last updated
12/14/2022
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