Organization · Type 2 NPI
Us Medgroup PA
Health Service Clinic/Center · Phoenix, AZ
NPI number
1649559832
Active
Practice location
901 East Jefferson St
Phoenix, AZ 85034
Fax (214) 775-4502
Mailing address
5080 Spectrum Drive, Suite 1200 West
Addison, TX 75001-4624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1649559832
Us Medgroup PA's National Provider Identifier is 1649559832, issued on Aug 5, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 2, 2016.