Organization
AZ MED GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MOSHIRI (ADMINISTRATOR)
(602) 441-3573
Entity
Organization
Contact information
Practice address
10605 N HAYDEN RD STE G110, SCOTTSDALE, AZ 85260-5505
(602) 237-6340
Mailing address
130 S VAL VISTA DR STE 102, GILBERT, AZ 85296-1363
(602) 354-5310
(480) 361-9086
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
02/24/2022
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