Organization
EXCEPTIONAL PHYSICIAN GROUP ARIZONA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAEED S MAHBOUBI (CEO)
(214) 533-0034
Entity
Organization
Contact information
Practice address
19060 N JOHN WAYNE PARKWAY, MARICOPA, AZ 85139
(480) 631-0678
Mailing address
3514 CEDAR SPRINGS RD, DALLAS, TX 75219-4901
(469) 341-7800
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
2085B0100X
Body Imaging Physician
—
—
Other
Enumeration date
12/21/2021
Last updated
10/08/2024
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