HEALTHCARE CAMPUS LLC NPI 1205442704

NPI Information

HEALTHCARE CAMPUS LLC 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. HEALTHCARE CAMPUS LLC NPI is 1205442704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4838 E BASELINE RD STE 110
MESA, AZ
ZIP 85206-674
Phone: (480) 969-4040
Fax: (480) 295-3722

The provider's authorized official is Leslie Kay Felix .
The authorized official title is Credentialing and has the following contact phone number (928) 961-3921.

The CLIA number assigned to this NPI record is 03D2197930 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2020 and was last updated on 10/11/2020.

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:

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