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Organization

PEAK HEALTH MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIKA UGORJI MD (CHIEF FINANCIAL OFFICER)
(904) 994-4532
Entity
Organization

Contact information

Practice address
127 E MAIN ST STE A, PAYSON, AZ 85541-5646
(928) 492-9222
(928) 492-9223
Mailing address
127 E MAIN ST STE A, PAYSON, AZ 85541-5646
(928) 492-9222
(928) 492-9223

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207ND0101X
MOHS-Micrographic Surgery Physician
207NP0225X
Pediatric Dermatology Physician
207Q00000X
Family Medicine Physician
Primary
208000000X
Pediatrics Physician
261QR1300X
Rural Health Clinic/Center
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
10/16/2024
Last updated
09/11/2025
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