OrganizationEast Mesa Family Doctors Pllc(Medical Mall Of Arizona Family Practice Pllc)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address7165 E University Dr Ste 101, Mesa, AZ 85207-6400(480) 999-0049PECOS EnrollmentBased on the most recent information from CMS, provider East Mesa Family Doctors 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 2 days ago.Profile DetailsProvider ID1508310665Provider TypeOrganizationFull NameEast Mesa Family Doctors PllcOther NameMedical Mall Of Arizona Family Practice PllcSubpartNoEnumeration Date8/6/2016Last Updated12/14/2022Contact InformationPractice LocationPractice Address7165 E University Dr Ste 101, Mesa, AZ 85207-6400Phone(480) 999-0049Fax(866) 918-8525Mailing LocationMailing Address7165 E University Dr Ste 101, Mesa, AZ 85207-6400Phone(480) 999-0049Fax(866) 918-8525Authorized OfficialNameVeldhuizen Mickey, Stacy Deann (Md/Owner)Phone(480) 999-0049Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerArizona