Organization
BFGY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER STOUT (MANAGER)
(337) 315-7927
Entity
Organization
Contact information
Practice address
3301 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395-3197
(623) 935-2929
Mailing address
PO BOX 6610, CHANDLER, AZ 85246-6610
(480) 926-7800
(480) 926-2260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/31/2025
Last updated
06/26/2025
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