Organization
PREMIER MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA MENDEZ (OFFICE MANAGER)
(480) 894-2823
Entity
Organization
Contact information
Practice address
5030 S MILL AVE STE D12, TEMPE, AZ 85282-6849
(480) 894-2823
(480) 664-0828
Mailing address
5005 S ASH AVE STE A-2, TEMPE, AZ 85282-6837
(602) 833-6585
(602) 903-2333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07538449R
AZ
Other
Enumeration date
10/19/2006
Last updated
06/23/2023
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