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1104447788
MESA PHYSICIAN GROUP
MESA, AZ
NPI
1104447788
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Entity Type
Organization
Authorized Contact
JEREMIAH FABER
CEO
480-258-3635
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2020-05-05
Last Update Date
2020-05-06
Business Address
MESA PHYSICIAN GROUP
5151 E BROADWAY RD STE 105
MESA, AZ 85206-1346
Phone number: 480-809-6587
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Mailing Address
MESA PHYSICIAN GROUP
PO BOX 964
GILBERT, AZ 85299-0964
Phone number: 480-366-4489
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