# PREMIER MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1467534487
- **Authorized official:** STACIA MENDEZ (OFFICE MANAGER)
- **Authorized official phone:** (480) 894-2823

## Contact information

- **Practice address:** 5030 S MILL AVE STE D12, TEMPE, AZ 85282-6849
- **Practice address phone:** (480) 894-2823
- **Practice address fax:** (480) 664-0828
- **Mailing address:** 5005 S ASH AVE STE A-2, TEMPE, AZ 85282-6837
- **Mailing address phone:** (602) 833-6585
- **Mailing address fax:** (602) 903-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 07538449R | AZ | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 06/23/2023