Mesa Physician Group

LBN: Mesa Physician Group
Mesa Physician Group is an health care organization with primary practice located at 5151 E Broadway Rd Ste 105 , Mesa AZ 85206-1346. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Mesa Physician Group can be contacted via phone (480) 809-6587, or through Faber, Jeremiah via phone (480) 258-3635.

Contact Information

Primary practice address
5151 E Broadway Rd Ste 105 Mesa AZ 85206-1346
Phone: (480) 809-6587
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faber, Jeremiah
Phone: (480) 258-3635

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1104447788
LBN Legal business name Mesa Physician Group
DBA Doing business as
Authorized official Faber, Jeremiah
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2020
Last updated May 6th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers