District Medical Group

NPI 1134520968 - Family Medicine - 207Q00000X

NPI Details
NPI 1134520968
Enumeration Date 09/11/2014
Last Updated 09/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TERESA TERESA
Position DIRECTOR OF CREDENTIALING
Phone (602) 470-5000
Fax
Practice Location
2929 E THOMAS RD
PHOENIX AZ, 85016-8034, US
Phone (602) 470-5000
Fax
Business Location
2929 E THOMAS RD
PHOENIX AZ, 85016, US
Phone (602) 470-5000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number 23893
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According to our database, District Medical Group NPI is 1134520968, taxonomy code is 207Q00000X and license number is 23893, license state is located at Arizona. District Medical Group physically located at 2929 E Thomas Rd, Phoenix AZ, 85016-8034. NPI Number 1033115704 has the healthcare provider type.

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1134520968 NPI number is provided on an as is basis without warranty of any kind. 1134520968 is maintained by the National Plan & Provider Enumeration System. The contents of District Medical Group are for informational purposes only.