CARONDELET MEDICAL GROUP INC NPI 1215974951

NPI Information

CARONDELET MEDICAL GROUP, INC is a family medicine in Nogales, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CARONDELET MEDICAL GROUP, INC NPI is 1215974951. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1209 W. TARGET RANGE RD.
NOGALES, AZ
ZIP 85621
Phone: (520) 287-4747
Fax: (520) 285-3135

The provider's authorized official is Deb S Mohesky .
The authorized official title is Evp/cfo and has the following contact phone number (520) 872-7745.

The CLIA number assigned to this NPI record is 03D2224255 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 2/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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