District Medical Group, INC

NPI #1144624339 in Phoenix, Arizona

Provider Information

NPI Number: 1144624339
Entity Type: Organization
Organization Name: District Medical Group, INC
Subpart: Yes (part of a larger organization)
Parent Organization: DISTRICT MEDICAL GROUP, INC
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 16, 2014
Last Updated: Oct 16, 2014

Practice Location

Address: 2601 E ROOSEVELT ST
Address 2: EMERGENCY MEDICINE
City: Phoenix
State: Arizona
ZIP Code: 85008-4973
Phone: (602) 470-5011

Authorized Official

Name: TERESA CORDEIRO
Title: CREDENTIALING DIRECTOR
Phone: (602) 470-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Pediatric Emergency Medicine — Pediatric Emergency Medicine	207PP0204X
Emergency Medicine - Medical Toxicology — Medical Toxicology	207PT0002X
Emergency Medicine	207P00000X	Primary

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