Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine |
| NPI Number | 1154898435 |
| LBN Legal business name | PHOENIX PHYSICIAN GROUP, PLLC |
| Authorized official | TOM VO - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/25/2018 |
| Last updated | 07/03/2023 - About 3 years ago |
| Identifiers | n/a |
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