NPI
Mesa Physician Group
Phone (480) 809-6587 · NPI 1104447788
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2020-05-05
- Last updated
- 2020-05-06
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 5151 E Broadway Rd Ste 105
- City
- Mesa AZ
- Postal code
- 85206-1346
- Phone
- (480) 809-6587
Organization contact
- Name
- Jeremiah Faber
- Title
- CEO
- Phone
- (480) 258-3635
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
General Practitioners in Mesa, AZ. 28 with this primary taxonomy in the public file.
Other NPIs in Mesa, AZ. 13,450 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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