District Medical Group, INC

NPI #1093948275 in Phoenix, Arizona

Provider Information

NPI Number: 1093948275
Entity Type: Organization
Organization Name: District Medical Group, INC
Subpart: Yes (part of a larger organization)
Parent Organization: DISTRICT MEDICAL GROUP, INC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 3, 2009
Last Updated: Oct 1, 2014

Practice Location

Address: 2601 E ROOSEVELT ST
Address 2: DEPT OF ANESTHESIA
City: Phoenix
State: Arizona
ZIP Code: 85008-4973
Phone: (602) 344-5011

Authorized Official

Name: TERESA CORDEIRO
Title: CREDENTIALING DIRECTOR
Phone: (602) 470-5043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Critical Care Medicine — Critical Care Medicine	207LC0200X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Anesthesiology - Pediatric Anesthesiology — Pediatric Anesthesiology	207LP3000X
Anesthesiology	207L00000X	Primary

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