Organization
MESQUITE MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK EUGENE POWERS JR. MSN/MBA/HCM, FNP (OWNER)
(520) 234-6176
Entity
Organization
Contact information
Practice address
77 E FRY BLVD, SIERRA VISTA, AZ 85635-1813
(520) 459-8915
Mailing address
861 W YUCCA SPRINGS TRL, HUACHUCA CITY, AZ 85616-8308
(520) 234-6176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP 4146
AZ
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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