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

Mesa Outpatient Treatment Center LLC

Organization Surgery Physician · NPI 1316468333

Mesa Outpatient Treatment Center LLC provides Surgery Physician services in Mesa, Arizona. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 E Baseline Rd Ste 119
Mesa, AZ 85206
Phone: (480) 272-8944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1316468333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Buckner — Mbr · (480) 272-8944
NPI enumeratedJune 29, 2017
Last updated in NPPESJuly 21, 2022
Mailing address4540 E Baseline Rd Ste 119, Mesa, AZ 85206-4617

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