| Jared Dayton D O P C | |
|
6840 E Brown Rd Suite 101 Mesa AZ 85207-3759 | |
| (480) 924-9797 | |
| (480) 588-6754 |
| Full Name | Jared Dayton D O P C |
|---|---|
| Speciality | Family Medicine |
| Location | 6840 E Brown Rd, Mesa, Arizona |
| Authorized Official Name and Position | Jared L Dayton (PRESIDENT/CEO) |
| Authorized Official Contact | 4809249797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Dayton D O P C 6840 E Brown Rd Suite 101 Mesa AZ 85207-3759 Ph: (480) 924-9797 | Jared Dayton D O P C 6840 E Brown Rd Suite 101 Mesa AZ 85207-3759 Ph: (480) 924-9797 |
| NPI Number | 1205886801 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 06/09/2022 |
| Medicare PECOS PAC ID | 9335123009 |
|---|---|
| Medicare Enrollment ID | O20040618000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205886801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3678 (Arizona) | Primary |
| Provider Name | Jared L Dayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508816331 PECOS PAC ID: 6901708163 Enrollment ID: I20040127000366 |
| Provider Name | Alane Marie Larison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851799258 PECOS PAC ID: 1254532203 Enrollment ID: I20160414001638 |
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