Organization
VMD PRIMARY PROVIDERS OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RAGER (DIRECTOR REVENUE CYCLE)
(844) 969-0686
Entity
Organization
Contact information
Practice address
10240 W INDIAN SCHOOL RD, PHOENIX, AZ 85037-5904
(888) 978-1055
(214) 853-5679
Mailing address
125 S CLARK ST STE 900, CHICAGO, IL 60603-4043
(888) 978-1055
(214) 853-5679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/05/2019
Last updated
01/10/2025
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