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Contact Information

PHOENIX PHYSICIAN GROUP, PLLC
3430 N. MOUNTAIN RIDGE
UNIT 14
MESA, AZ85207
 Phone: 303-589-7881
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PHOENIX PHYSICIAN GROUP PLLC · (Female)

NPI Number 1154898435
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2018
Last updated 07/03/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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