Organization
4C MEDICAL GROUP PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (MEDICAL STAFF MANAGER)
(702) 480-2550
Entity
Organization
Contact information
Practice address
9590 E IRONWOOD SQUARE DR STE 125, SCOTTSDALE, AZ 85258-4583
(480) 455-3000
(866) 819-6115
Mailing address
9590 E IRONWOOD SQUARE DR STE 125, SCOTTSDALE, AZ 85258-4583
(480) 455-3000
(866) 819-6115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625202
—
AZ
Enumeration date
05/26/2011
Last updated
07/31/2023
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