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1396573705
ATLAS MEDICAL ACO LLC
MESA, AZ
NPI
1396573705
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Entity Type
Organization
Authorized Contact
GREGORY CHAD MANGUM
Owner
435-514-5646
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-07-25
Last Update Date
2024-10-17
Business Address
ATLAS MEDICAL ACO LLC
7227 E BASELINE RD STE 126
MESA, AZ 85209-5006
Phone number: 480-219-4790
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Mailing Address
ATLAS MEDICAL ACO LLC
PO BOX 4682
LOGAN, UT 84323-4682
Phone number:
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