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Contact Information

DISTRICT MEDICAL GROUP INC
840 E MCKELLIPS RD
SUITE #110
MESA, AZ85203-9645
 Phone: 602-470-5520
 Fax: 480-649-0783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DISTRICT MEDICAL GROUP INC

NPI Number 1124299334
LBN Legal business name DISTRICT MEDICAL GROUP INC
Authorized official TERESA CORDEIRO - (CREDENTIALING DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/14/2008
Last updated 03/21/2013 - About 13 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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