Organization · Type 2 NPI
Elite Integrative Group PLLC
Adult Medicine Physician · Glendale, AZ
NPI number
1003771833
Active
Practice location
5422 W Thunderbird Rd # 202
Glendale, AZ 85306-4700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Integrative Medicine Physician | 202D00000X | None listed |
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
Other adult medicine physician providers in Glendale
About NPI 1003771833
Elite Integrative Group PLLC's National Provider Identifier is 1003771833, issued on Dec 23, 2025. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Glendale, AZ. The record was last updated on Dec 23, 2025.