District Medical Group, INC

NPI #1831722768 in Peoria, Arizona

Provider Information

NPI Number: 1831722768
Entity Type: Organization
Organization Name: District Medical Group, INC
Subpart: Yes (part of a larger organization)
Parent Organization: DISTRICT MEDICAL GROUP, INC
Primary Specialty: Surgery
Enumeration Date: Feb 19, 2020
Last Updated: Feb 19, 2020

Practice Location

Address: 14155 N 83RD AVE STE A105
City: Peoria
State: Arizona
ZIP Code: 85381-5640
Phone: (623) 486-7700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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