Carondelet Medical Group, INC

NPI #1215974951 in Nogales, Arizona

Provider Information

NPI Number: 1215974951
Entity Type: Organization
Organization Name: Carondelet Medical Group, INC
Primary Specialty: Family Medicine
Enumeration Date: Jun 1, 2006
Last Updated: Feb 22, 2012

Practice Location

Address: 1209 W. TARGET RANGE RD.
City: Nogales
State: Arizona
ZIP Code: 85621
Phone: (520) 287-4747

Authorized Official

Name: MS. DEB S MOHESKY
Title: EVP/CFO
Phone: (520) 872-7745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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