HOMEWOOD FAMILY MEDICINE PLLC NPI 1144206541

NPI Information

HOMEWOOD FAMILY MEDICINE PLLC is a family medicine in Mesa, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HOMEWOOD FAMILY MEDICINE PLLC NPI is 1144206541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4540 E BASELINE RD
#113
MESA, AZ
ZIP 85206-613
Phone: (480) 558-4700
Fax: (480) 558-1936

The provider's authorized official is Russell Jay Homewood .
The authorized official title is Owner and has the following contact phone number (480) 558-4700.

The CLIA number assigned to this NPI record is 03D1095343 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/16/2005 and was last updated on 10/18/2007.

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:

Other Identifiers

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