| Premier Physicians Group, Pllc | |
|
1955 S Val Vista Dr Ste 126, Mesa, AZ 85204-7372 | |
| (480) 272-8944 | |
| (480) 237-5682 |
| Full Name | Premier Physicians Group, Pllc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Pain |
| Location | 1955 S Val Vista Dr Ste 126, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568643047 | NPI | - | NPPES |
| Provider Name | Christopher S Ray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548267131 PECOS PAC ID: 1658341326 Enrollment ID: I20040729000654 |
| Provider Name | Joel E Braun |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144457110 PECOS PAC ID: 9436204187 Enrollment ID: I20090901000272 |
| Provider Name | Jeremy R Buckner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104805332 PECOS PAC ID: 7517129679 Enrollment ID: I20120507000693 |
| Provider Name | Joel Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487831129 PECOS PAC ID: 6507920105 Enrollment ID: I20140722000874 |
| Provider Name | Shaun Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093261497 PECOS PAC ID: 3678858644 Enrollment ID: I20170315000379 |
| Provider Name | Ashley N Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013408020 PECOS PAC ID: 3870845654 Enrollment ID: I20181004002953 |
| Provider Name | Kurt Angus Smalls-walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225556293 PECOS PAC ID: 0143573030 Enrollment ID: I20181023000897 |
| Provider Name | David Bennett Carlyon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881120079 PECOS PAC ID: 3870995574 Enrollment ID: I20210716000669 |
| Provider Name | Thomas John Hulm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083247852 PECOS PAC ID: 8022411032 Enrollment ID: I20210728003883 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physicians Group, Pllc 1955 S Val Vista Dr Ste 126, Mesa, AZ 85204-7372 Ph: (480) 272-8944 | Premier Physicians Group, Pllc 1955 S Val Vista Dr Ste 126, Mesa, AZ 85204-7372 Ph: (480) 272-8944 |