Organization
DEMIR MEDICAL GROUP SC
Active
Parent organization
DEMIR MEDICAL GROUP SC
Other names
Desert Womens Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEMIR MEDICAL GROUP SC
Authorized official
RICHARD HAINES DEMIR M.D. (PROVIDER)
(480) 559-4776
Entity
Organization
Contact information
Practice address
80 N MCCLINTOCK DR # 104, CHANDLER, AZ 85226-3767
(480) 559-4776
(866) 526-7086
Mailing address
8711 E PINNACLE PEAK RD, 218, SCOTTSDALE, AZ 85255-3517
(480) 559-4776
(866) 526-7086
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36773
AZ
261QM1300X
Multi-Specialty Clinic/Center
36773
AZ
305R00000X
Preferred Provider Organization
36773
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11737757
CAQH
AZ
05
—
203537
—
AZ
01
—
36773
AZ LICENSE
AZ
05
—
503386
—
AZ
Enumeration date
10/11/2013
Last updated
04/24/2019
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