Most Relevant Information
Provider Data
| NPI Number: | 1003293606 |
| Provider Name: | MARK WESBROCK PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | AP7776 |
Most Important Dates
| Enumeration Date: | 05/03/2015 |
| Last Updated: | 05/03/2015 |
Provider Practice Location
2730 S VAL VISTA DR
SUITE 137
GILBERT
AZ
852951675
Practice Location Phone/Fax
| Phone: | 4804718560 |
| Fax: |
Provider Mailing Location
2730 S VAL VISTA DR
SUITE 137
GILBERT
AZ
852951675
Provider Mailing Phone/Fax
| Phone: | 4804718560 |
| Fax: |