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Contact Information

DISTRICT MEDICAL GROUP, INC
570 W BROWN RD
ADMINISTRATION
MESA, AZ85201-3227
 Phone: 480-344-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DISTRICT MEDICAL GROUP, INC

NPI Number 1437482544
LBN Legal business name DISTRICT MEDICAL GROUP, INC
Authorized official TERESA CORDEIRO - (DIRECTOR, CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/09/2009
Last updated 01/02/2020 - About 6 years ago
Identifiers
AZ Medicaid 475747
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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