Organization
DISTRICT MEDICAL GROUP INC
Active
Organization
DISTRICT MEDICAL GROUP INC
Active
Parent organization
DISTRICT MEDICAL GROUP INC
Other names
Desert Horizon Psychiatric Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISTRICT MEDICAL GROUP INC
Authorized official
TERESA CORDEIRO (CREDENTIALING DIRECTOR)
(602) 470-5000
Entity
Organization
Contact information
Practice address
840 E MCKELLIPS RD, SUITE #110, MESA, AZ 85203-9645
(602) 470-5520
(480) 649-0783
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/14/2008
Last updated
03/21/2013
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