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Organization

DISTRICT MEDICAL GROUP, INC

Active
Parent organization
DISTRICT MEDICAL GROUP, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DISTRICT MEDICAL GROUP, INC
Authorized official
TERESA CORDEIRO (CREDENTIALING DIRECTOR)
(602) 470-5043
Entity
Organization

Contact information

Practice address
2601 E ROOSEVELT ST, DEPT OF ANESTHESIA, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
207LP3000X
Pediatric Anesthesiology Physician

Other

Enumeration date
09/03/2009
Last updated
10/01/2014
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