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Organization

ADVANCED MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE L ROBLEDO M.D. (MEMBER)
(480) 598-9733
Entity
Organization

Contact information

Practice address
15835 S 46TH ST, STE. 132, PHOENIX, AZ 85048-0446
(480) 598-9733
(480) 598-8891
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
27967
AZ
207Y00000X
Otolaryngology Physician
Primary
13386
AZ

Other

Enumeration date
11/06/2008
Last updated
08/12/2010
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