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Contact Information

PHOENIX PHYSICIAN GROUP, PLLC
3430 N. MOUNTAIN RIDGE
UNIT 14
MESA, AZ85207
 Phone: 303-589-7881
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PHOENIX PHYSICIAN GROUP, PLLC

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
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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