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Contact Information

MEDICAL GROUP OF ARIZONA, LLC
13430 N. BLACK CANYON HIGHWAY
SUITE 100
PHOENIX, AZ85029-1310
 Phone: 602-943-9200
 Fax: 602-216-3000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MEDICAL GROUP OF ARIZONA LLC · (Female)

NPI # 1366796773
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2012
Last updated 11/07/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 29166
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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