Organization
CENTRAL MESA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L MIRITELLO D.C. (PRESIDENT)
(480) 962-0868
Entity
Organization
Contact information
Practice address
204 N CENTER ST, MESA, AZ 85201-6629
(480) 962-0868
(480) 962-7010
Mailing address
204 N CENTER ST, MESA, AZ 85201-6629
(480) 962-0868
(480) 962-7010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03289
AZ
207Q00000X
Family Medicine Physician
21507
AZ
Other
Enumeration date
02/27/2007
Last updated
11/11/2014
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