Banner Mesa Medical Center

Specialty details in registry · Mesa, AZ

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At a glance

1010 N Country Club Dr, Mesa, AZ 85201-3309

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1010 N Country Club Dr
Mesa, AZ 85201-3309
Professional details: NPI, taxonomy & registry record
NPI1275688186
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
273R00000X
Enumeration date
Jan 24, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

273R00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1010 N Country Club Dr
Mesa, AZ 85201-3309
Phone
(480) 834-1211
Mailing address
1441 N 12TH ST

PHOENIX, AZ 850062837
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete.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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