Evernorth Care Group Stapley Multi-specialty Center | |
1840 S Stapley Dr Suite 101 Mesa AZ 85204-5015 | |
(480) 464-8500 | |
Not Available |
Full Name | Evernorth Care Group Stapley Multi-specialty Center |
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Speciality | Clinic/center |
Location | 1840 S Stapley Dr, Mesa, Arizona |
Authorized Official Name and Position | Kevin Ellis (CHIEF MEDICAL DIRECTOR) |
Authorized Official Contact | 6232772246 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evernorth Care Group Stapley Multi-specialty Center 8888 E Raintree Dr Fl 3 Scottsdale AZ 85260-3951 Ph: (602) 328-8400 | Evernorth Care Group Stapley Multi-specialty Center 1840 S Stapley Dr Suite 101 Mesa AZ 85204-5015 Ph: (480) 464-8500 |
NPI Number | 1528139953 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 06/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528139953 | NPI | - | NPPES |
061797 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OTC 4338 (Arizona) | Primary |
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