Organization
PRIVIA MEDICAL GROUP ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCHORNEY (CFO)
(602) 633-3838
Entity
Organization
Contact information
Practice address
111 W CEDAR LN STE A, PAYSON, AZ 85541-5417
(602) 633-3780
(602) 633-3782
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3838
(602) 633-3850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326831
—
AZ
Enumeration date
02/25/2008
Last updated
05/02/2025
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