Organization
PHOENIX MUA PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVER JAY PENNY DC (MANAGING MEMBER)
(623) 628-0486
Entity
Organization
Contact information
Practice address
9140 W THOMAS RD, SUITE B-106, PHOENIX, AZ 85037-3378
(623) 628-0486
Mailing address
9140 W THOMAS RD, SUITE B-106, PHOENIX, AZ 85037-3378
(623) 628-0486
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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