| Privia Medical Group Arizona, Llc | |
|
14001 N 7th St Ste F111 Phoenix AZ 85022-4382 | |
| (602) 633-3780 | |
| (602) 633-3782 |
| Full Name | Privia Medical Group Arizona, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14001 N 7th St Ste F111, Phoenix, Arizona |
| Authorized Official Name and Position | Mindy Smith (CEO) |
| Authorized Official Contact | 6026333811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group Arizona, Llc 3815 E Bell Rd Ste 2200 Phoenix AZ 85032-2139 Ph: (602) 633-3848 | Privia Medical Group Arizona, Llc 14001 N 7th St Ste F111 Phoenix AZ 85022-4382 Ph: (602) 633-3780 |
| NPI Number | 1245876705 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/02/2025 |
| Medicare PECOS PAC ID | 1052328408 |
|---|---|
| Medicare Enrollment ID | O20200220002978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245876705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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