| Integrated Premier Group Specialty, Llc | |
|
2075 S Cottonwood Dr Tempe AZ 85282-3040 | |
| (480) 718-0568 | |
| (480) 307-6676 |
| Full Name | Integrated Premier Group Specialty, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2075 S Cottonwood Dr, Tempe, Arizona |
| Authorized Official Name and Position | Feras Aldaoud (PROVIDER) |
| Authorized Official Contact | 4807180568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Premier Group Specialty, Llc 2075 S Cottonwood Dr Tempe AZ 85282-3040 Ph: (480) 718-0568 | Integrated Premier Group Specialty, Llc 2075 S Cottonwood Dr Tempe AZ 85282-3040 Ph: (480) 718-0568 |
| NPI Number | 1770961914 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 03/19/2020 |
| Certification Date | 03/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770961914 | NPI | - | NPPES |
| 208912 | Medicaid | AZ |
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