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NPI Code Detail

MEDICARE: MAYO CLINIC ARIZONA

MEDICARE: MAYO CLINIC ARIZONA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1699520049
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAYO CLINIC ARIZONA
Provider Business Mailing Address
First Line : 5777 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5881 E MAYO BLVD # 1-503
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4504
Country : US
Telephone Number : 480-342-1869
Fax Number :
Authorized Official
Title or Position : CFO
Name : JEFFREY JACKSON
Credential :
Telephone Number : 480-574-3055
Provider Enumeration Date : 04/19/2024
Last Update Date : 04/16/2026

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Directions to “MAYO CLINIC ARIZONA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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