Mesa Family Physicians, Plc | |
1425 S Greenfield Rd Ste 101 Mesa AZ 85206-5505 | |
(480) 964-5800 | |
(480) 644-1372 |
Full Name | Mesa Family Physicians, Plc |
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Speciality | Family Medicine |
Location | 1425 S Greenfield Rd Ste 101, Mesa, Arizona |
Authorized Official Name and Position | David E. Benton (PARTNER) |
Authorized Official Contact | 4809645800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mesa Family Physicians, Plc 1425 S Greenfield Rd Ste 101 Mesa AZ 85206-5505 Ph: (480) 964-5800 | Mesa Family Physicians, Plc 1425 S Greenfield Rd Ste 101 Mesa AZ 85206-5505 Ph: (480) 964-5800 |
NPI Number | 1174723274 |
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Provider Enumeration Date | 07/18/2007 |
Last Update Date | 02/14/2023 |
Medicare PECOS PAC ID | 1456336320 |
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Medicare Enrollment ID | O20040623001166 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174723274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10054 (Arizona) | Primary |
207Q00000X | Family Medicine | 14219 (Arizona) | Secondary |
207Q00000X | Family Medicine | 13293 (Arizona) | Secondary |
Provider Name | Steven R Reeder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295750057 PECOS PAC ID: 1052464088 Enrollment ID: I20100903000408 |
Provider Name | Gary S Wallace |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427083633 PECOS PAC ID: 9335264118 Enrollment ID: I20100916000952 |
Provider Name | David E Benton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952319865 PECOS PAC ID: 7416000443 Enrollment ID: I20101014000462 |
Provider Name | James A Gunn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255643680 PECOS PAC ID: 5496906927 Enrollment ID: I20130830000307 |
Provider Name | Jennifer L Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952775413 PECOS PAC ID: 5890097828 Enrollment ID: I20160108000187 |
Provider Name | Sarah Marie Strazza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144731480 PECOS PAC ID: 8729401336 Enrollment ID: I20200714002941 |
Provider Name | Jamison Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598226698 PECOS PAC ID: 0143602284 Enrollment ID: I20220805000507 |
Provider Name | Sarah Schornack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942958699 PECOS PAC ID: 3375915077 Enrollment ID: I20230206002375 |
Provider Name | Ashley Nicole Snyder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528748043 PECOS PAC ID: 7113371642 Enrollment ID: I20231002002298 |
Provider Name | Kendall Sherri Rubeshaw Kokora |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316719040 PECOS PAC ID: 3577911718 Enrollment ID: I20231128002275 |
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Cactus Pediatric Orthopaedics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Dobson Rd Ste 200, Mesa, AZ 85202 Phone: 480-551-0300 | |
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