| NPI | Name | Type | Address |
|---|---|---|---|
|
NP Jetta Derasin |
Individual |
1705 W Main St Mesa, AZ |
|
|
Freedom Medical Care |
Organization |
5151 E Broadway Rd Ste 105 Mesa, AZ |
|
|
I Am Wellness Az Llc |
Organization |
1830 S Alma School Rd Ste 101 Mesa, AZ |
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 207QA0401X |
| Specialization | Addiction Medicine |
| Display Name | Addiction Medicine (Family Medicine) Physician |
| Taxonomy Group | Allopathic & Osteopathic Physicians |
| Taxonomy Classification | Family Medicine |
| Definition | A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Effective Date | September 30, 2009 |
| Modification Date | September 30, 2009 |