Organization
MOUNTAIN WEST REHABILITATION MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J KOVAN MD (OWNER / PHYSICIAN)
(407) 797-3913
Entity
Organization
Contact information
Practice address
255 W BROWN RD, MESA, AZ 85201-3404
(480) 833-3988
(480) 962-1996
Mailing address
PO BOX 678290, DALLAS, TX 75267-8290
(877) 749-7428
(281) 724-3100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
45968
AZ
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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