| Us Medgroup Pa | |
| 
					12808 N Black Canyon Hwy Phoenix AZ 85029  | |
| (602) 375-1155 | |
| (602) 866-9169 | 
| Full Name | Us Medgroup Pa | 
|---|---|
| Speciality | Clinic/center - Health Service | 
| Location | 12808 N Black Canyon Hwy, Phoenix, Arizona | 
| Authorized Official Name and Position | John Anderson (PRESIDENT) | 
| Authorized Official Contact | 9723648000 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Us Medgroup Pa 5080 Spectrum Drive Suite 1200 West Addison TX 75001 Ph: (972) 364-8000  | Us Medgroup Pa 12808 N Black Canyon Hwy Phoenix AZ 85029 Ph: (602) 375-1155  | 
| NPI Number | 1477832665 | 
|---|---|
| Provider Enumeration Date | 08/05/2011 | 
| Last Update Date | 03/02/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477832665 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary | 
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary | 
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