Organization
LEADING MDS FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SELMAN (CEO/CFO)
(602) 654-3294
Entity
Organization
Contact information
Practice address
8035 E BROWN RD, MESA, AZ 85207-3901
(623) 295-1190
Mailing address
8035 E BROWN RD, MESA, AZ 85207-3901
(623) 295-1190
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
01/07/2025
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