| Mezona Orthopaedic | |
|
2940 E Banner Gateway Dr Ste 200 Gilbert AZ 85234-2171 | |
| (480) 964-2908 | |
| (480) 833-2136 |
| Full Name | Mezona Orthopaedic |
|---|---|
| Speciality | Family Medicine |
| Location | 2940 E Banner Gateway Dr, Gilbert, Arizona |
| Authorized Official Name and Position | John Kinna (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6027723800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mezona Orthopaedic Po Box 271429 Salt Lake City UT 84127-1429 Ph: (602) 772-3800 | Mezona Orthopaedic 2940 E Banner Gateway Dr Ste 200 Gilbert AZ 85234-2171 Ph: (480) 964-2908 |
| NPI Number | 1063855088 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063855088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | () | Secondary |
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