Individual
JARED BEVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
844 E 7TH PL, MESA, AZ 85203-6404
(480) 228-7444
Mailing address
844 E 7TH PL, MESA, AZ 85203-6404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6079
AZ
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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