NPI 1003448952

M.G.T RN LLC

Organisation Family Medicine Physician Mesa, AZ

Practice location

Address: 7117 E Peralta Cir, Mesa, AZ 85212-9825
Phone: (480) 430-0721
Mailing address: 7316 E Southern Ave Unit 6091, Mesa, AZ 85216-5005

Authorised official

Name: Jameelah Wilson
Title: Owner
Phone: (480) 430-0721

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arizona →

Registry record

NPI: 1003448952
Entity type: Organization
NPI issued: 9 Feb 2020
Record last updated: 9 Feb 2020

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.