Organization
MESA HEALTH AND WELLNESS CENTER
Active
Organization
MESA HEALTH AND WELLNESS CENTER
Active
Other names
Onsite Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARCE LATSIS (CONTROLLER)
(801) 441-1002
Entity
Organization
Contact information
Practice address
1121 S GILBERT RD, SUITE 101, MESA, AZ 85204-5235
(480) 644-9355
(480) 644-2288
Mailing address
560 S 300 E STE 275, SALT LAKE CITY, UT 84111-3586
(801) 441-1002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4199
AZ
Other
Enumeration date
10/10/2014
Last updated
01/30/2020
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