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MEDICAL GROUP OF ARIZONA LLC NPI 1366796773


NPI Information

NPI: 1366796773
Provider Name: MEDICAL GROUP OF ARIZONA, LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
13430 N. BLACK CANYON HIGHWAY
SUITE 100
PHOENIX, AZ
ZIP 85029
Phone: (602) 943-9200
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MEDICAL GROUP OF ARIZONA, LLC is a geriatric medicine family medicine in Phoenix, AZ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. MEDICAL GROUP OF ARIZONA, LLC NPI is 1366796773. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13430 N. BLACK CANYON HIGHWAY
SUITE 100
PHOENIX, AZ
ZIP 85029-310
Phone: (602) 943-9200
Fax: (602) 216-3000

The provider's authorized official is Reginald M. Sutton .
The authorized official title is Sole Member and has the following contact phone number (480) 686-8737.

The enumeration date for this NPI number is 11/7/2012 and was last updated on 11/7/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine29166ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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