OrganizationMesa Clinic Of Physicians And Surgeons, Pllc.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address606 N Country Club Dr, #1, Mesa, AZ 85201(480) 969-3511(480) 733-4432PECOS EnrollmentBased on the most recent information from CMS, provider Mesa Clinic Of Physicians And Surgeons, Pllc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1063603470Provider TypeOrganizationFull NameMesa Clinic Of Physicians And Surgeons, Pllc.SubpartNoEnumeration Date8/9/2007Last Updated1/24/2008Contact InformationPractice LocationPractice Address606 N Country Club Dr, #1, Mesa, AZ 85201Phone(480) 969-3511Fax(480) 969-0976Mailing LocationMailing Address606 N Country Club Dr, #1, Mesa, AZ 85201Phone(480) 733-4432Fax(480) 733-4447Authorized OfficialNameBake, Sandra (Administrator)Phone(480) 733-4401Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer