MARK T CALLESEN MD PC
Residential Treatment Facilities at Alma School Rd, Mesa, AZ

License number
Arizona 23058
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
Owner
Name: DR. MARK TRAVIS CALLESEN M.D.
Title: PRESIDENT
Phone: (480) 464-4606
Address
Address
1201 S Alma School Rd SUITE 11750, Mesa, AZ 85210
National Provider ID: 1588727259
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MARK T CALLESEN MD PC at bizstanding.com

MARK T. CALLESEN, M.D., PC

1201 S Alma School Rd, Mesa, AZ 85210

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Nov 24, 2006
Inactive since:
May 10, 2010
State ID:
-1326935-9
Expiration:
PERPETUAL
President:
Mark T Callesen (President), 1201 S Alma School Rd, Mesa, AZ 85210 (Physical)
Agent:
Robert B Elmer,3048 E Baseline Rd #117, Mesa, AZ 85204 (Physical)
Business type:
HEALTH CARE

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