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Contact Information

DISTRICT MEDICAL GROUP, INC
2601 E ROOSEVELT ST
PHOENIX, AZ85008-4973
 Phone: 602-344-5011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Critical Care Medicine

207VC0200X 16 Physician/Obstetrics & Gynecology
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DISTRICT MEDICAL GROUP, INC

NPI Number 1528396108
LBN Legal business name DISTRICT MEDICAL GROUP, INC
Authorized official TERESA CORDEIRO - (CREDENTIALING DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/19/2009
Last updated 10/01/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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