Organization
CAMELBACK PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NEWMAN (COO)
(760) 835-7562
Entity
Organization
Contact information
Practice address
4527 N 16TH ST STE 201, PHOENIX, AZ 85016-5352
(760) 835-7562
Mailing address
4527 N 16TH ST STE 201, PHOENIX, AZ 85016-5352
(760) 835-7562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/02/2022
Last updated
04/01/2024
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