Provider Demographics
NPI:1437437605
Name:M S C HOLDING GROUP LLC
Entity Type:Organization
Organization Name:M S C HOLDING GROUP LLC
Other - Org Name:THE DOCTOR IS IN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-626-6318
Mailing Address - Street 1:1640 S STAPLEY DR
Mailing Address - Street 2:SUITE 245
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-6667
Mailing Address - Country:US
Mailing Address - Phone:480-626-6318
Mailing Address - Fax:480-626-6798
Practice Address - Street 1:1640 S STAPLEY DR
Practice Address - Street 2:SUITE 245
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-6667
Practice Address - Country:US
Practice Address - Phone:480-626-6318
Practice Address - Fax:480-626-6798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty