| District Medical Group, Inc | |
|
10144 W Lake Pleasant Pkwy Ste 1110 Peoria AZ 85382-9716 | |
| (623) 434-5748 | |
| (623) 566-9665 |
| Full Name | District Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10144 W Lake Pleasant Pkwy Ste 1110, Peoria, Arizona |
| Authorized Official Name and Position | Teresa Cordeiro (DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 6024705519 |
| 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 10144 W Lake Pleasant Pkwy Ste 1110 Peoria AZ 85382-9716 Ph: (623) 434-5748 |
| NPI Number | 1538708979 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538708979 | NPI | - | NPPES |
| 475747 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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