OrganizationActive
East Valley Vaccination and Examination Center
NPI 1063751204 · Health Service Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1063751204
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Kuhn, Administrator(480) 833-0554
- License
- AP4435 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
110 S Mesa Dr
Suite 2
Mesa, AZ 85210
Phone: (480) 833-0554
Approximate (ZIP-level) locationGet directions
Mailing address
110 S Mesa Dr
Mesa, AZ 85210
Registry dates
- Enumerated
- 2013-02-07
- Last updated
- 2013-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.