SOUTHERN MEDICAL GROUP LLC

MESA, AZ
NPI1053883546
Entity TypeOrganization
Authorized ContactDEREK PAUL PRUNI
Member
412-889-0636
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
SOUTHERN MEDICAL GROUP LLC
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206-3628
Phone number: 480-830-2882
Mailing Address
SOUTHERN MEDICAL GROUP LLC
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206-3628
Phone number: 480-830-2882