Evergreen At Mesa, L.l.c.
Specialty details in registry · Mesa, AZ
At a glance
6458 E Broadway Rd, Mesa, AZ 85206-1727
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
6458 E Broadway RdMesa, AZ 85206-1727
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 314000000X
- Enumeration date
- May 4, 2006
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
314000000X · Primary
License reported: NCA-2627 AZ
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
6458 E Broadway RdMesa, AZ 85206-1727
- Phone
- (480) 832-5160
- Fax
- (480) 854-7046
Mailing address
4601 NE 77TH AVESUITE 300
VANCOUVER, WA 986626729
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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