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NPI 1396573705

OrganizationActive

Atlas Medical Aco LLC

NPI 1396573705 · Clinic/Center · Mesa, AZ

Provider details

NPI number: 1396573705
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Atlas Medical Aco LLC
Authorized official: Gregory Mangum, Owner

Practice location

7227 E Baseline Rd Ste 126

Mesa, AZ 85209-5006

Phone: (480) 219-4790

More AZ providers

Mailing address

Po Box 4682

Logan, UT 84323-4682

Registry dates

Enumerated: 2024-07-25
Last updated: 2024-10-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Atlas Medical Aco LLC — NPI 1396573705, Mesa, AZ | NPI Central