EAST VALLEY MEDICAL GROUP, LLC

MESA, AZ
NPI1700342110
Entity TypeOrganization
Authorized ContactDEREK P PRUNI
Member
480-830-2882
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Enumeration Date2019-02-11
Last Update Date2019-02-11
Business Address
EAST VALLEY MEDICAL GROUP, LLC
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206-3628
Phone number: 480-830-2882
Mailing Address
EAST VALLEY MEDICAL GROUP, LLC
5233 E SOUTHERN AVE STE 103
MESA, AZ 85206-3628
Phone number: 480-830-2882
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