# DISTRICT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DISTRICT MEDICAL GROUP, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063052934
- **Legal business name:** DISTRICT MEDICAL GROUP, INC
- **Authorized official:** TERESA CORDEIRO (DIRECTOR, CREDENTIALING)
- **Authorized official phone:** (602) 470-5519

## Contact information

- **Practice address:** 1805 N SCOTTSDALE RD, TEMPE, AZ 85281-1556
- **Practice address phone:** (480) 877-3000
- **Mailing address:** 2929 E THOMAS RD, PHOENIX, AZ 85016-8034
- **Mailing address phone:** (602) 470-5519
- **Mailing address fax:** (602) 470-5064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2020
- **Last updated:** 01/08/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 475747 | — | AZ |