Organization
MIND CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIR S SHAREEF D.O. (PRESICENT)
(480) 354-6463
Entity
Organization
Contact information
Practice address
10238 E HAMPTON AVE, SUITE 205, MESA, AZ 85209-3316
(480) 354-6463
(480) 354-6480
Mailing address
PO BOX 8323, SCOTTSDALE, AZ 85252-8323
(480) 354-6463
(480) 354-6480
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4446
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376151-0
CORPORATION NUMBER
AZ
Enumeration date
07/11/2007
Last updated
09/26/2007
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