Organization
MARK T CALLESEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK TRAVIS CALLESEN M.D. (PRESIDENT)
(480) 464-4606
Entity
Organization
Contact information
Practice address
1201 S ALMA SCHOOL RD, SUITE 11750, MESA, AZ 85210-2008
(480) 464-4606
(480) 464-0613
Mailing address
1201 S ALMA SCHOOL RD, SUITE 11750, MESA, AZ 85210-2008
(480) 464-4606
(480) 464-0613
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
23058
AZ
Other
Enumeration date
12/17/2006
Last updated
08/22/2020
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