Organization
INTEGRATIVE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL OROSCO (OWNER)
(480) 201-0294
Entity
Organization
Contact information
Practice address
3113 W CARVER RD, LAVEEN, AZ 85339-1760
(480) 201-0294
Mailing address
3113 W CARVER RD, LAVEEN, AZ 85339-1760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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