Organization
WESTERN MED GROUP LLC
Active
Parent organization
WESTERN MED GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN MED GROUP LLC
Authorized official
DR. THOMAS MOSHIRI MD (MANAGER)
(602) 441-3573
Entity
Organization
Contact information
Practice address
1055 W QUEEN CREEK RD STE 3, CHANDLER, AZ 85248-8134
(602) 441-3573
Mailing address
21001 N TATUM BLVD STE 1630-606, PHOENIX, AZ 85050-4242
(602) 354-5310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/07/2021
Last updated
02/24/2022
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