| San Tan Psychiatry | |
|
1910 S Stapley Dr Ste 217 Mesa AZ 85204-6679 | |
| (602) 888-0370 | |
| (480) 748-4095 |
| Full Name | San Tan Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 1910 S Stapley Dr Ste 217, Mesa, Arizona |
| Authorized Official Name and Position | Donald Mason (OWNER) |
| Authorized Official Contact | 6028880370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Tan Psychiatry 1910 S Stapley Dr Ste 217 Mesa AZ 85204-6679 Ph: (602) 888-0370 | San Tan Psychiatry 1910 S Stapley Dr Ste 217 Mesa AZ 85204-6679 Ph: (602) 888-0370 |
| NPI Number | 1437936655 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 1355799198 |
|---|---|
| Medicare Enrollment ID | O20231204003705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437936655 | NPI | - | NPPES |
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