Organization
DISTRICT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CORDEIRO (DIRECTOR OF CREDENTIALING)
(602) 470-5000
Entity
Organization
Contact information
Practice address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23893
AZ
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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