Organization
5233 MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK PAUL PRUNI DC (MEMBER)
(480) 830-2882
Entity
Organization
Contact information
Practice address
5233 E SOUTHERN AVE STE 103, MESA, AZ 85206-3628
(480) 830-2882
(480) 830-2881
Mailing address
5233 E SOUTHERN AVE STE 103, MESA, AZ 85206-3628
(480) 830-2882
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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