MESA FAMILY PHYSICIANS, PLC
Marriage and Family Therapists in Mesa, AZ

License number
Arizona 10054
Category
Osteopathic Medicine
Type
Family Medicine
License number
Arizona 21891
Category
Osteopathic Medicine
Type
Family Medicine
License number
Arizona 13293
Category
Osteopathic Medicine
Type
Family Medicine
License number
Arizona 14219
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. DAVID E. BENTON II M.D.
Title: PARTNER
Phone: (480) 964-5800
Address
Address 2
1440 S Country Club Dr Suite #30, Mesa, AZ 85210
2550 E Guadalupe Rd Suite #107, Gilbert, AZ 85234
National Provider ID: 1174723274
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MESA FAMILY PHYSICIANS, P.L.C

1440 S Country Clb Dr, Mesa, AZ 85210

Status:
Inactive
Inactive reason:
Latest date to dissolve
Registration:
Jul 8, 1993
Inactive since:
Dec 31, 2050
State ID:
P-0252241-5
Expiration:
PERPETUAL
Members:
Steven R Reeder (Manager), 2550 E Guadalupe Rd #107, Gilbert, AZ 85234 (Physical),David E Benton M D (Manager), 2550 E Guadalupe Rd #107, Gilbert, AZ 85234 (Physical),James A Gunn (Member), 1440 S Country Clb Dr, Mesa, AZ 85210 (Physical),...
Agent:
Us Service Corp,1138 N Alma School Rd STE 101, Mesa, AZ 85201 (Physical)

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