Organization
PROGRESSIVE MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRIMES (CFO)
(629) 206-3254
Entity
Organization
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202
(480) 456-9500
(480) 820-7623
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(629) 216-0568
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845761
—
AZ
Enumeration date
05/04/2006
Last updated
01/27/2023
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