# VMD PRIMARY PROVIDERS OF ARIZONA

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

## Provider details

- **NPI number:** 1689236135
- **Authorized official:** REBECCA RAGER (DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (844) 969-0686

## Contact information

- **Practice address:** 10240 W INDIAN SCHOOL RD, PHOENIX, AZ 85037-5904
- **Practice address phone:** (888) 978-1055
- **Practice address fax:** (214) 853-5679
- **Mailing address:** 125 S CLARK ST STE 900, CHICAGO, IL 60603-4043
- **Mailing address phone:** (888) 978-1055
- **Mailing address fax:** (214) 853-5679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/05/2019
- **Last updated:** 01/10/2025