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Organization

INTEGRATED PREMIER GROUP SPECIALTY, LLC

Active
Other names
IPGS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FERAS ALDAOUD M.D. (PROVIDER)
(480) 718-0568
Entity
Organization

Contact information

Practice address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(480) 718-0568
(480) 307-6676
Mailing address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(480) 718-0568
(480) 307-6676

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
18871
AZ
103TF0000X
Family Psychologist
104100000X
Social Worker
207R00000X
Internal Medicine Physician
Primary
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208600000X
Surgery Physician
213E00000X
Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208912
AZ
Enumeration date
05/07/2015
Last updated
03/19/2020
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