PROVIDER PROVIDER PC

MESA, AZ
NPI1760969190
Entity TypeOrganization
Authorized ContactJONATHAN HARRIS
Pa C/Member Of Corporation
480-461-9822
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2018-07-28
Last Update Date2018-12-20
Business Address
PROVIDER PROVIDER PC
841 W 11TH ST
MESA, AZ 85201-3109
Phone number: 480-461-9822
Mailing Address
PROVIDER PROVIDER PC
841 W 11TH ST
MESA, AZ 85201-3109
Phone number:
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