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Organization

ELITE MULTI SPECIALTY GROUP LLC

Active
Other names
Elite Multi Specialty Group LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ESSAM ALI MD (PRESIDENT/DOCTOR)
(646) 752-4685
Entity
Organization

Contact information

Practice address
15255 N 40TH ST, PHOENIX, AZ 85032-4624
(646) 752-4685
Mailing address
15255 N 40TH ST, PHOENIX, AZ 85032-4624
(646) 752-4685

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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