| The Grove: Comprehensive Psychiatry And Wellness | |
|
6402 E Superstition Springs Blvd Mesa AZ 85206-4392 | |
| (480) 359-5540 | |
| (833) 907-2437 |
| Full Name | The Grove: Comprehensive Psychiatry And Wellness |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6402 E Superstition Springs Blvd, Mesa, Arizona |
| Authorized Official Name and Position | Brigham John Nicoll (PHYSICIAN) |
| Authorized Official Contact | 4802721099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grove: Comprehensive Psychiatry And Wellness 6402 E Superstition Springs Blvd Mesa AZ 85206-4392 Ph: (480) 359-5540 | The Grove: Comprehensive Psychiatry And Wellness 6402 E Superstition Springs Blvd Mesa AZ 85206-4392 Ph: (480) 359-5540 |
| NPI Number | 1598416364 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 07/22/2022 |
| Certification Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598416364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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