Organization · NPI-2
Afc Physical Medicine Of Mesa, PLLC
Physical Medicine & Rehabilitation · Mesa, AZ
NPI number1659645679
StatusActive
Last updated in NPPESDec 8, 2017
Details
- NPI
- 1659645679
- Entity type
- Organization (NPI-2)
- Legal business name
- Afc Physical Medicine Of Mesa, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2012
- Last updated
- Dec 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 7046960001 | AZ |
Practice location
3130 E Baseline RdSuite 107
Mesa, AZ 85204-7290
Phone 480-345-1980 · Fax 480-926-1721
Mailing address
1839 S Alma School Rd Ste 354Mesa, AZ 85210-3028
Phone 480-726-2287 · Fax 888-316-9272
Authorized official
Joshua F. Bock
Managing Member
4807262287
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