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

TaxonomyCodeLicense
Integrative Medicine Physician 202D00000XNone listed
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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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.