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Organization

DISTRICT MEDICAL GROUP, INC

Active
Parent organization
DISTRICT MEDICAL GROUP
Other names
DMG
Organization subpart
Yes

Provider details

NPI number
Legal business name
DISTRICT MEDICAL GROUP
Authorized official
TERESA CORDEIRO (CREDENTIALING DIRECTOR)
(602) 470-5000
Entity
Organization

Contact information

Practice address
2601 E ROOSEVELT ST, RHEUMATOLOGY, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
03/29/2010
Last updated
10/01/2014
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