National Provider Identifier Database

PHOENIX PHYSICIAN GROUP PLLC
Emergency Medical Services


Contact Information

PHOENIX PHYSICIAN GROUP, PLLC
3430 N. MOUNTAIN RIDGE
UNIT 14
MESA, AZ85207
Phone: 303-589-7881
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medical Services 207PE0004X

* Indicates primary specialty

NPI Profile & details for PHOENIX PHYSICIAN GROUP, PLLC

NPI Number 1154898435
Legal business name
LBN
PHOENIX PHYSICIAN GROUP, PLLC
Authorized official TOM VO - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/25/2018
Last updated 07/03/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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