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Contact Information

DISTRICT MEDICAL GROUP, INC
2525 E ROOSEVELT ST
PEDIATRIC CLINIC
PHOENIX, AZ85008-4948
 Phone: 602-344-1018
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatric Endocrinology

2080P0205X 37 Physician/Pediatric Medicine
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatric Rheumatology

2080P0216X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DISTRICT MEDICAL GROUP, INC

NPI Number 1790018802
LBN Legal business name DISTRICT MEDICAL GROUP, INC
Authorized official TERESA CORDEIRO - (CREDENTIALING DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/09/2009
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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