District Medical Group, Inc | |
3141 N 3rd Ave Phoenix AZ 85013-4345 | |
(602) 914-1520 | |
Not Available |
Full Name | District Medical Group, Inc |
---|---|
Speciality | Clinic/center |
Location | 3141 N 3rd Ave, Phoenix, 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 Ph: (602) 470-5000 | District Medical Group, Inc 3141 N 3rd Ave Phoenix AZ 85013-4345 Ph: (602) 914-1520 |
NPI Number | 1407106719 |
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Provider Enumeration Date | 09/13/2012 |
Last Update Date | 02/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407106719 | NPI | - | NPPES |
475747 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
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