District Medical Group, INC

NPI #1124667555 in Peoria, Arizona

Provider Information

NPI Number: 1124667555
Entity Type: Organization
Organization Name: District Medical Group, INC
Subpart: Yes (part of a larger organization)
Parent Organization: DISTRICT MEDICAL GROUP, INC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 2, 2020
Last Updated: Feb 19, 2020

Practice Location

Address: 15182 N 75TH AVE STE 180
City: Peoria
State: Arizona
ZIP Code: 85381-4722
Phone: (623) 487-3334

Authorized Official

Name: TERESA CORDEIRO
Title: DIRECTOR, CREDENTIALING
Phone: (602) 470-5519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Surgery	208600000X
Clinic/Center	261Q00000X	Primary

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