| East Valley Medical Group, Inc. | |
|
10238 E Hampton Ave Suite 212 Mesa AZ 85209-3316 | |
| (480) 632-2004 | |
| Not Available |
| Full Name | East Valley Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 10238 E Hampton Ave, Mesa, Arizona |
| Authorized Official Name and Position | Richard A. West (CHIEF HEALTHCARE ADMINISTRATOR) |
| Authorized Official Contact | 4808453132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Medical Group, Inc. 10238 E Hampton Ave Suite 212 Mesa AZ 85209-3316 Ph: () - | East Valley Medical Group, Inc. 10238 E Hampton Ave Suite 212 Mesa AZ 85209-3316 Ph: (480) 632-2004 |
| NPI Number | 1134473838 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134473838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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