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Individual

DR. MARK M. MEDEIROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10210 N 92ND ST, SUITE 305, SCOTTSDALE, AZ 85258-4509
(480) 551-6979
(480) 551-9725
Mailing address
10210 N 92ND ST, SUITE 305, SCOTTSDALE, AZ 85258-4509
(480) 551-6979
(480) 551-9725

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18965
AZ

Other

Enumeration date
07/02/2005
Last updated
06/22/2011
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