NPI 1093518995 · live from the CMS NPI Registry
Central Arizona Gastroenterology PC
Internal Medicine, Gastroenterology in Mesa, AZ. National Provider Identifier 1093518995, active.
NPI record
| NPI | 1093518995 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3638 E Southern Ave Ste C108, Mesa, AZ 85206 |
| Practice phone | 480-834-0771 |
| Mailing address | 8704 E Hannibal St, Mesa, AZ 85207 |
| Enumerated | March 28, 2025 |
| Last updated | March 28, 2025 |
| Authorized official | Daras Adams, Owner Representative |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.