NPI 1003071358

Medical Group LTD.

Organisation Specialist Phoenix, AZ

Practice location

Address: 3125 N 32nd St Suite 110, Phoenix, AZ 85018-6281
Phone: (602) 956-9838

Authorised official

Name: Luis Tan
Title: Dr.
Phone: (602) 956-9838

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 3848 (AZ)

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Registry record

NPI: 1003071358
Entity type: Organization
NPI issued: 25 Jul 2008
Record last updated: 25 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.