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840 E Mckellips Rd Suite #110 Mesa AZ 85203-9645 | |
| (602) 470-5520 | |
| (480) 649-0783 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 840 E Mckellips Rd, Mesa, Arizona |
| Authorized Official Name and Position | Teresa Cordeiro (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 6024705000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2929 E Thomas Rd Phoenix AZ 85016-8034 Ph: (602) 470-5000 | 840 E Mckellips Rd Suite #110 Mesa AZ 85203-9645 Ph: (602) 470-5520 |
| NPI Number | 1124299334 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124299334 | NPI | - | NPPES |
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