Organization
BLACK MESA MEDICAL LLC
Active
Organization
BLACK MESA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN B AINBINDER M.D. (PRESIDENT)
(602) 677-2712
Entity
Organization
Contact information
Practice address
20701 N SCOTTSDALE RD, #107240, SCOTTSDALE, AZ 85255-6413
(602) 677-2712
Mailing address
PO BOX 15070, SCOTTSDALE, AZ 85267-5070
(480) 421-9700
(480) 421-9899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33774
AZ
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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