Organization · NPI-2
Ace Medical Group LLC
Physical Medicine & Rehabilitation · Mesa, AZ
NPI number1053939066
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1053939066
- Entity type
- Organization (NPI-2)
- Legal business name
- Ace Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – |
Practice location
5233 E Southern Ave Ste 104Mesa, AZ 85206-3628
Phone 480-567-5267
Mailing address
5233 E Southern Ave Ste 103Mesa, AZ 85206-3628
Phone 480-888-6675
Authorized official
Mark A Zitnik
Member
4805675267
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