Organization
EMERGENCY GROUP OF ARIZONA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MOUGANIS (DIRECTOR PROVIDER ENROLLMENT)
(856) 686-4394
Entity
Organization
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(925) 924-1600
Mailing address
4637 CHABOT DR STE 104, PLEASANTON, CA 94588-2749
(925) 924-1600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
794525
—
AZ
Enumeration date
01/23/2013
Last updated
11/19/2025
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