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MESA VERDE MEDICAL GROUP PC NPI 1265637888


NPI Information

NPI: 1265637888
Provider Name: MESA VERDE MEDICAL GROUP PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 03D0993162

Address:
395 N SILVERBELL RD
SUITE #265
TUCSON, AZ
ZIP 85745
Phone: (520) 624-2194
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MESA VERDE MEDICAL GROUP PC is an internal medicine in Tucson, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MESA VERDE MEDICAL GROUP PC NPI is 1265637888. The provider is registered as an organization entity type.

The provider's business location address is:

395 N SILVERBELL RD
SUITE #265
TUCSON, AZ
ZIP 85745-675
Phone: (520) 624-2194
Fax: (520) 624-2193

The provider's authorized official is Armando Gonzalez .
The authorized official title is President and has the following contact phone number (520) 624-2194.

The CLIA number assigned to this NPI record is 03D0993162 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 10/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site24499ARIZONANo
2207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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