# TEAMMD PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124685532
- **Authorized official:** RAY KELLER (MANAGING INDIVIDUAL)
- **Authorized official phone:** (651) 324-0266

## Contact information

- **Practice address:** 1805 N SCOTTSDALE RD STE 120, TEMPE, AZ 85281-1556
- **Practice address phone:** (480) 877-3800
- **Mailing address:** 3433 BROADWAY ST NE STE 305, MINNEAPOLIS, MN 55413-1795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/21/2019
- **Last updated:** 06/20/2019