Organization
CAMELBACK PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NEWMAN (COO)
(760) 835-7562
Entity
Organization
Contact information
Practice address
4527 N 16TH ST # 201, PHOENIX, AZ 85016-5352
(480) 267-0315
Mailing address
4527 N 16TH ST # 201, PHOENIX, AZ 85016-5352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090924
—
AZ
05
—
122470
—
AZ
05
—
123664
—
AZ
05
—
156458
—
AZ
05
—
431974
—
AZ
Enumeration date
04/01/2024
Last updated
11/22/2024
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