Organization
MESQUITE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL ROMO FNP (ADMINISTRATOR/PROVIDER)
(520) 369-2463
Entity
Organization
Contact information
Practice address
3910 N CAMPBELL AVE, TUCSON, AZ 85719-1428
(520) 369-2463
(706) 642-4634
Mailing address
6095 E GRANT RD, TUCSON, AZ 85712-2343
(520) 369-2463
(706) 642-4634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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