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Organization
EMERGENCY GROUP OF ARIZONA PROFESSIONAL CORPORATION
Active
Organization
EMERGENCY GROUP OF ARIZONA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MOUGANIS (DIRECTOR PROVIDER ENROLLMENT)
(856) 686-4394
Entity
Organization
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(925) 924-1600
Mailing address
4637 CHABOT DR STE 104, PLEASANTON, CA 94588-2749
(925) 924-1600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
794525
—
AZ
Enumeration date
01/23/2013
Last updated
11/19/2025
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