| Dover Shores | |
|
2222 S Dobson Rd Mesa AZ 85202-6481 | |
| (480) 655-0035 | |
| Not Available |
| Full Name | Dover Shores |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2222 S Dobson Rd, Mesa, Arizona |
| Authorized Official Name and Position | Wayne Hochstrasser (PRESIDENT/CEO) |
| Authorized Official Contact | 6029957474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dover Shores 40 E Mitchell Dr Suite 100 Phoenix AZ 85012-2330 Ph: (602) 995-7474 | Dover Shores 2222 S Dobson Rd Mesa AZ 85202-6481 Ph: (480) 655-0035 |
| NPI Number | 1972742633 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972742633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-2242 (Arizona) | Primary |
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