# JR MEDICAL GROUP, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornerstone Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376664540
- **Authorized official:** KENDRA THOMPSON (DIRECTOR)
- **Authorized official phone:** (480) 981-6100

## Contact information

- **Practice address:** 4545 E SOUTHERN AVE STE 103, MESA, AZ 85206-2677
- **Practice address phone:** (480) 981-6100
- **Practice address fax:** (480) 981-5501
- **Mailing address:** 4545 E SOUTHERN AVE, SUITE 103, MESA, AZ 85206
- **Mailing address phone:** (480) 981-6100
- **Mailing address fax:** (480) 981-5501

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 05/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080179242 | RAILROAD MEDICARE PROVIDER \# | AZ |
| 01 | — | 080181881 | RAILROAD MEDICARE PROVIDER ID \# | AZ |
| 05 | — | 411863 | — | AZ |
| 05 | — | 482323 | — | AZ |
| 05 | — | 489254 | — | AZ |