Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mesa Clinic of Physicians and Surgeons, PLLC

Organization Family Medicine Physician · NPI 1063603470

Mesa Clinic of Physicians and Surgeons, PLLC provides Family Medicine Physician services in Mesa, Arizona. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

606 N Country Club Dr #1
Mesa, AZ 85201 Not confirmed with CMS for 18 years — call before visiting
Phone: (480) 969-3511
Fax: (480) 969-0976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063603470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Bake — Administrator · (480) 733-4401
NPI enumeratedAugust 9, 2007
Last updated in NPPESJanuary 24, 2008
Mailing address606 N Country Club Dr, 1, Mesa, AZ 85201

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