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Organization
ELITE MULTI SPECIALTY GROUP LLC
Active
Organization
ELITE MULTI SPECIALTY GROUP LLC
Active
Other names
Elite Multi Specialty Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ESSAM ALI MD (PRESIDENT/DOCTOR)
(646) 752-4685
Entity
Organization
Contact information
Practice address
15255 N 40TH ST, PHOENIX, AZ 85032-4624
(646) 752-4685
Mailing address
15255 N 40TH ST, PHOENIX, AZ 85032-4624
(646) 752-4685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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