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EAST VALLEY MEDICAL GROUP INC. NPI 1134473838


NPI Information

NPI: 1134473838
Provider Name: EAST VALLEY MEDICAL GROUP, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
10238 E HAMPTON AVE
SUITE 212
MESA, AZ
ZIP 85209
Phone: (480) 632-2004
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EAST VALLEY MEDICAL GROUP, INC. is a general practice in Mesa, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EAST VALLEY MEDICAL GROUP, INC. NPI is 1134473838. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10238 E HAMPTON AVE
SUITE 212
MESA, AZ
ZIP 85209-316
Phone: (480) 632-2004

The provider's authorized official is Richard A. West .
The authorized official title is Chief Healthcare Administrator and has the following contact phone number (480) 845-3132.

The enumeration date for this NPI number is 11/1/2012 and was last updated on 11/1/2012.


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
1208D00000XGeneral PracticeYes

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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