Organization
INTEGRATED PREMIER GROUP SPECIALTY, LLC
Active
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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