Ingenuity Medical Group LLC

NPI #1417986118 in Phoenix, Arizona

Provider Information

NPI Number: 1417986118
Entity Type: Organization
Organization Name: Ingenuity Medical Group LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 3, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 1930 E THOMAS RD
City: Phoenix
State: Arizona
ZIP Code: 85016-7711
Phone: (480) 296-6549

Authorized Official

Name: MR. MARK A. SMITH
Title: BUSINESS MANAGER
Phone: (480) 296-6549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X
Emergency Medicine - Undersea and Hyperbaric Medicine — Undersea and Hyperbaric Medicine	207PE0005X
Emergency Medicine	207P00000X	Primary

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