NPI 1003250473

Mesa Indiana Ed Associates, LLC

Organisation Emergency Medicine Physician Lexington, KY

Practice location

Address: 1792 Alysheba Way Suite 150, Lexington, KY 40509-2288
Phone: (859) 335-9041

Authorised official

Name: Mark Valentine
Title: Cfo
Phone: (859) 335-9041

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1003250473
Entity type: Organization
NPI issued: 29 Apr 2013
Record last updated: 29 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.