Organization
PRIVIA MEDICAL GROUP ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY SMITH (CEO)
(602) 633-3811
Entity
Organization
Contact information
Practice address
14001 N 7TH ST STE F111, PHOENIX, AZ 85022-4382
(602) 633-3780
(602) 633-3782
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
05/02/2025
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