MEDICARE: ANTI-AGING INSTITUTE OF ARIZONA, INC.

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1609185917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTI-AGING INSTITUTE OF ARIZONA, INC.

Provider Business Mailing Address
First Line	:	3514 N POWER RD STE 107
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-2907
Country	:	US
Telephone Number	:	480-292-1110
Fax Number	:	480-634-1200

Provider Business Practice Location Address
First Line	:	3514 N POWER RD STE 107
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-2907
Country	:	US
Telephone Number	:	480-292-1110
Fax Number	:	480-634-1200

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	JASON WILLIAMS
Credential	:
Telephone Number	:	480-292-1110

Provider Enumeration Date	:	10/04/2010
Last Update Date	:	10/04/2010

Similar Medicare Providers

1164484440 — AFROZE A AHMAD MD
Practice Location Address:

3514 N POWER RD STE 107
MESA, AZ
85215-2907

Practice Phone: 480-361-9949
Practice Fax: 480-361-9969

1619068681 — DR. CARL EDWARD FERGUSON D.O.
Practice Location Address:

3514 N POWER RD STE 105
MESA, AZ
85215-2907

Practice Phone: 480-422-8533
Practice Fax: 480-981-2442

1801034962 — MS. DIANA POSADAS LLC
Practice Location Address:

3514 N POWER RD , STE 104
MESA, AZ
85215-2907

Practice Phone: 480-516-3911
Practice Fax:

1881529956 — LIZETH BANUELOS
Practice Location Address:

3514 N POWER RD STE 127
MESA, AZ
85215-2911

Practice Phone: 480-847-2800
Practice Fax:

1235464397 — LAURA R LATIMER PHARM.D
Practice Location Address:

5941 E MCKELLIPS RD
MESA, AZ
85215-2754

Practice Phone: 480-830-6343
Practice Fax: 480-981-0156

1194657098 — SETH COOK
Practice Location Address:

5155 E EAGLE DR
MESA, AZ
85215-1211

Practice Phone: 480-690-9655
Practice Fax: 480-422-8760

Directions to “ANTI-AGING INSTITUTE OF ARIZONA, INC. ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.