Associated Desert Gastroenterologists PC
Internal Medicine, Gastroenterology in Mesa, AZ. Organization (NPI-2).
NPI number1336320613
StatusActive
Last updated in NPPESNov 4, 2014
Details
- NPI
- 1336320613
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Desert Gastroenterologists PC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2007
- Last updated
- Nov 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 12854 | AZ | Yes |
Practice location
215 S Power Rd# 102
Mesa, AZ 85206-5235
Phone 480-985-9005 · Fax 480-396-9974
Mailing address
215 S Power RdSuite 102
Mesa, AZ 85206-5235
Phone 480-985-9005 · Fax 480-396-9974
Authorized official
Prem C Kumar
Owner
4809859005
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