Organization
RED MOUNTAIN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SMITH (BILLING MGR)
(480) 854-7123
Entity
Organization
Contact information
Practice address
1635 N GREENFIELD RD, #134, MESA, AZ 85205
(480) 854-7123
(480) 854-7627
Mailing address
1635 N GREENFIELD RD, #134, MESA, AZ 85205
(480) 854-7123
(480) 854-7627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2866
AZ
Other
Enumeration date
04/25/2007
Last updated
10/02/2007
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