# PHYSICIAN GROUP OF ARIZONA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STEWARD MEDICAL GROUP OF ARIZONA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851957195
- **Authorized official:** MICHELLE DINSDALE (EXECUTIVE DIRECTOR, OPERATIONS)
- **Authorized official phone:** (602) 797-7070

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2019
- **Last updated:** 05/13/2019
