| Devereux Arizona | |
|
1837 S Mesa Dr Ste A200 Mesa AZ 85210-6219 | |
| (602) 283-1547 | |
| Not Available |
| Full Name | Devereux Arizona |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1837 S Mesa Dr Ste A200, Mesa, Arizona |
| Authorized Official Name and Position | Lane Barker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4809982920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux Arizona 2025 N 3rd St Ste 250 Phoenix AZ 85004-1472 Ph: (602) 283-1573 | Devereux Arizona 1837 S Mesa Dr Ste A200 Mesa AZ 85210-6219 Ph: (602) 283-1547 |
| NPI Number | 1033614060 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033614060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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