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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
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3838
(602) 633-3838
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3838
(602) 633-3841

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207VG0400X
Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
2085R0001X
Radiation Oncology Physician
208600000X
Surgery Physician
208800000X
Urology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
326831
AZ
Enumeration date
03/22/2006
Last updated
05/02/2025
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