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Organization

CIGNA MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN ELLIS DO (CHIEF MEDICAL DIRECTOR)
(623) 277-2246
Entity
Organization

Contact information

Practice address
25500 N NORTERRA DR, ATTN: HCFS (SUPPORT CENTER), PHOENIX, AZ 85085-8200
(602) 942-4462
(623) 277-1091
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(602) 942-4462
(623) 277-1091

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
09/13/2006
Last updated
01/07/2014
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