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NPI Code Detail

MEDICARE: CLINIC OF PHYSICIANS AND SURGEONS

MEDICARE: CLINIC OF PHYSICIANS AND SURGEONS
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1841473857
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINIC OF PHYSICIANS AND SURGEONS
Provider Business Mailing Address
First Line : 606 N COUNTRY CLUB DR
Second Line : STE 1
City : MESA
State : AZ
Zip : 85201-5700
Country : US
Telephone Number : 480-733-4449
Fax Number : 480-733-4447
Provider Business Practice Location Address
First Line : 606 N COUNTRY CLUB DR
Second Line : STE 1
City : MESA
State : AZ
Zip : 85201-5700
Country : US
Telephone Number : 480-733-4449
Fax Number : 480-733-4447
Authorized Official
Title or Position : DIRECTOR
Name : DR. JOHN GILILLAND
Credential : MD
Telephone Number : 480-733-4449
Provider Enumeration Date : 12/12/2007
Last Update Date : 12/12/2007

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Directions to “CLINIC OF PHYSICIANS AND SURGEONS ” 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.