Organization · NPI-2

Afc Of East Mesa, PLLC

Physical Medicine & Rehabilitation · Mesa, AZ

NPI number1972256857
StatusActive
Last updated in NPPESJan 31, 2022

Details

NPI
1972256857
Entity type
Organization (NPI-2)
Legal business name
Afc Of East Mesa, PLLC
Organization subpart
No
Enumeration date
Jan 31, 2022
Certification date
Jan 31, 2022
Last updated
Jan 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Practice location

2919 S Ellsworth Rd Ste 111
Mesa, AZ 85212-2165

Phone 480-726-2287 · Fax 888-316-9272

Mailing address

1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028

Phone 480-726-2287 · Fax 888-316-9272

Authorized official

Joshua Bock
Managing Member
4807262287

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