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 |
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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 |
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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 |
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Provider Enumeration Date | 04/29/2024 |
Last Update Date | 04/29/2024 |
Identifier | Type | State | Issuer |
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1952157083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |