Individual
DAVID MESKHISHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 E LE MARCHE AVE, PHOENIX, AZ 85022-3359
(602) 601-4201
(602) 601-4201
Mailing address
1615 E LE MARCHE AVE, PHOENIX, AZ 85022-3359
(602) 601-4201
(602) 601-4201
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11948
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
--
N/A
—
Enumeration date
09/30/2021
Last updated
09/30/2021
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