NPI 1497975684

Longlife Medical INC.

Organisation Point of Service Mesa, AZ

Practice location

Address: 6632 E. Baseline Rd. STE. 103, Mesa, AZ 85206-4428
Phone: (480) 354-6700
Fax: (480) 354-6708

Authorised official

Name: David C Korn
Title: Medical Director
Phone: (480) 354-6700

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 3393 (AZ)

Other Point of Service providers in Arizona →

Registry record

NPI: 1497975684
Entity type: Organization
NPI issued: 27 Apr 2007
Record last updated: 22 Aug 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.