Organization
AFC PHYSICAL MEDICINE OF MESA, PLLC
Active
Parent organization
AFC PHYSICAL MEDICINE OF MESA, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFC PHYSICAL MEDICINE OF MESA, PLLC
Authorized official
CAROLANN M. FARLEY NP (MEDICAL DIRECTOR)
(480) 726-2287
Entity
Organization
Contact information
Practice address
3130 E BASELINE RD, SUITE 107, MESA, AZ 85204-7290
(480) 345-1980
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
03/14/2013
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