# DISTRICT MEDICAL GROUP

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

## Provider details

- **NPI number:** 1134520968
- **Authorized official:** TERESA CORDEIRO (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (602) 470-5000

## Contact information

- **Practice address:** 2929 E THOMAS RD, PHOENIX, AZ 85016-8034
- **Practice address phone:** (602) 470-5000
- **Mailing address:** 2929 E THOMAS RD, PHOENIX, AZ 85016
- **Mailing address phone:** (602) 470-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23893 | AZ | Yes |

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 09/11/2014