BROWN ROAD FAMILY MEDICINE, PLLC
Managed Care Organizations at Brown Rd, Mesa, AZ

License number
Arizona 20274
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Arizona 2834
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: KATY KELLER
Title: ADMINISTRATIVE ASSISTANT
Phone: (480) 584-3264
Address
Address
2310 E Brown Rd, Mesa, AZ 85213
National Provider ID: 1518081066
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BROWN ROAD FAMILY MEDICINE, PLLC at bizstanding.com

BROWN ROAD FAMILY MEDICINE, P.L.L.C

3630 E Indigo Cir, Mesa, AZ 85205

Registration:
Jan 7, 2005
State ID:
P-1174563-6
Expiration:
PERPETUAL
Members:
Jerry R Stockey Md (Member), 3630 E Indigo Cir, Mesa, AZ 85205 (Physical),Robert Derek Laufer Do (Member), 4015 E Encanto St, Mesa, AZ 85205 (Physical)
Agent:
Patricia E Nolan,2 N Central Ave 15 Flr, Phoenix, AZ 85004 (Physical)

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