District Medical Group, INC

NPI #1144860016 in Mesa, Arizona

Provider Information

NPI Number: 1144860016
Entity Type: Organization
Organization Name: District Medical Group, INC
Subpart: Yes (part of a larger organization)
Parent Organization: DISTRICT MEDICAL GROUP, INC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 8, 2020
Last Updated: Jan 8, 2020

Practice Location

Address: 6315 E MAIN ST
City: Mesa
State: Arizona
ZIP Code: 85205-8953
Phone: (480) 830-4164

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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