Peoria Physician Group

NPI #1124649637 in Peoria, Arizona

Provider Information

NPI Number: 1124649637
Entity Type: Organization
Organization Name: Peoria Physician Group
Primary Specialty: General Practice
Enumeration Date: May 6, 2020
Last Updated: May 6, 2020

Practice Location

Address: 13760 N 93RD AVE STE 105
City: Peoria
State: Arizona
ZIP Code: 85381-4260
Phone: (480) 809-6589

Authorized Official

Name: JEREMIAH FABER
Title: CEO
Phone: (480) 258-3635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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