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Organization

PHYSICIAN GROUP OF ARIZONA INC

Active
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Organization

PHYSICIAN GROUP OF ARIZONA INC

Active
Other names
STEWARD MEDICAL GROUP OF ARIZONA
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE DINSDALE (EXECUTIVE DIRECTOR, OPERATIONS)
(602) 797-7070
Entity
Organization

Contact information

Practice address
1620 S STAPLEY DR STE 132, MESA, AZ 85204-6655
(480) 834-8804
(480) 464-8287
Mailing address
PO BOX 24573, BELFAST, ME 04915-4496
(855) 660-0300

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—

Other

Enumeration date
05/13/2019
Last updated
05/13/2019
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