Organization · NPI-2

Akos Live

Clinic/Center, Urgent Care · Mesa, AZ

NPI number1013487800
StatusActive
Last updated in NPPESDec 5, 2018

Details

NPI
1013487800
Entity type
Organization (NPI-2)
Legal business name
Akos Live
Organization subpart
No
Enumeration date
Dec 5, 2018
Last updated
Dec 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes
207Q00000X Family Medicine––

Other names

  • Akos Med Clinic (Doing Business As)

Practice location

1902 W. Main Street
Mesa, AZ 85201

Phone 602-899-4404

Mailing address

Po Box 41638
Phoenix, AZ 85080-1638

Authorized official

Deserie Tsosie
Credentialing Specialistf
6029356389

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