| Nova Physician Group Pllc | |
|
13030 W Thunderbird Rd El Mirage AZ 85335-3256 | |
| (623) 505-1081 | |
| (602) 296-0193 |
| Full Name | Nova Physician Group Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13030 W Thunderbird Rd, El Mirage, Arizona |
| Authorized Official Name and Position | Terrence Morton (SR. MEDICAL DIRECTOR) |
| Authorized Official Contact | 3127339730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Physician Group Pllc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (312) 352-1515 | Nova Physician Group Pllc 13030 W Thunderbird Rd El Mirage AZ 85335-3256 Ph: (623) 505-1081 |
| NPI Number | 1952157083 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952157083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |