Individual
DR. MARK WESLEY KLEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W. HOSPITAL DR, WHITERIVER, AZ 85941-0860
(928) 338-3751
Mailing address
200 W. HOSPITAL DR, WHITERIVER, AZ 85941-0860
(928) 338-3751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 32290
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295993376
—
AZ
05
—
1629236716
—
AZ
05
—
1780614008
—
AZ
05
—
1871523191
—
AZ
Enumeration date
01/31/2007
Last updated
12/12/2008
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