Organization
COMPLETE CARE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE KNASAS (COMPLIANCE OFFIER)
(480) 878-4561
Entity
Organization
Contact information
Practice address
1350 E MCKELLIPS RD STE 5, MESA, AZ 85203-2739
(480) 878-4561
Mailing address
1350 E MCKELLIPS RD STE 5, MESA, AZ 85203-2739
(480) 878-4561
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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