# PRIME MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1336679414
- **Authorized official:** ANDRIA M KEEBLE (OFFICE MANAGER)
- **Authorized official phone:** (480) 539-8680

## Contact information

- **Practice address:** 652 E WARNER RD STE 107, GILBERT, AZ 85296-3073
- **Practice address phone:** (480) 539-8680
- **Practice address fax:** (480) 539-1763
- **Mailing address:** 652 E WARNER RD STE 107, GILBERT, AZ 85296-3073
- **Mailing address phone:** (480) 539-8680
- **Mailing address fax:** (480) 539-1763

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2017
- **Last updated:** 07/21/2022