Organization
PIERPONT MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN LYNN NICE (PRACTICE ADMINISTRATOR)
(480) 830-1040
Entity
Organization
Contact information
Practice address
4852 E BASELINE RD, SUITE #103, MESA, AZ 85206-4627
(480) 830-1040
(480) 981-3130
Mailing address
9221 E BASELINE RD, SUITE A109, #289, MESA, AZ 85209-8310
(480) 830-1040
(480) 981-3130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14449
AZ
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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