Provider First Line Business Practice Location Address:
1400 S DOBSON ROAD
Provider Second Line Business Practice Location Address:
ATTN AMANDA GUMP/HOSPITALISTS
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-543-2034
Provider Business Practice Location Address Fax Number:
480-543-2347
Provider Enumeration Date:
06/29/2012