| East Valley Wellness Center, Llc | |
|
1301 S Crismon Rd 1669 Mesa AZ 85209-3767 | |
| (480) 373-2399 | |
| (480) 373-2396 |
| Full Name | East Valley Wellness Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1301 S Crismon Rd, Mesa, Arizona |
| Authorized Official Name and Position | Gary A Smith (OWNER) |
| Authorized Official Contact | 4803732399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Wellness Center, Llc Po Box 52992 Mesa AZ 85208-0150 Ph: (480) 373-2399 | East Valley Wellness Center, Llc 1301 S Crismon Rd 1669 Mesa AZ 85209-3767 Ph: (480) 373-2399 |
| NPI Number | 1023464542 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023464542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Arizona) | Primary |
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