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Contact Information

DISTRICT MEDICAL GROUP, INC
570 W BROWN RD
ADMINISTRATION
MESA, AZ85201-3227
 Phone: 480-344-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DISTRICT MEDICAL GROUP INC · (Female)

NPI Number 1437482544
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2009
Last updated 01/02/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 475747
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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