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Organization

PEAK HEALTH MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIKA UGORJI MD (ADMINISTRATOR/CFO)
(928) 951-0395
Entity
Organization

Contact information

Practice address
127 E MAIN ST STE A, PAYSON, AZ 85541-5646
(928) 492-9222
Mailing address
13921 W GRAND AVE BLDG E, SURPRISE, AZ 85374-2439
(904) 994-4532

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207NP0225X
Pediatric Dermatology Physician
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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