| District Medical Group, Inc | |
|
2601 E Roosevelt St Phoenix AZ 85008-4973 | |
| (602) 344-5011 | |
| Not Available |
| Full Name | District Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2601 E Roosevelt St, Phoenix, Arizona |
| Authorized Official Name and Position | Teresa Cordeiro (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 6024705000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| District Medical Group, Inc 2929 E Thomas Rd Phoenix AZ 85016-8034 Ph: (602) 470-5000 | District Medical Group, Inc 2601 E Roosevelt St Phoenix AZ 85008-4973 Ph: (602) 344-5011 |
| NPI Number | 1518290626 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518290626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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