NPI 1356674469 · live from the CMS NPI Registry
District Medical Group, INC
Internal Medicine, Gastroenterology in Phoenix, AZ. National Provider Identifier 1356674469, active.
NPI record
| NPI | 1356674469 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 2525 E Roosevelt St, Med Clinic - Gi, Phoenix, AZ 85008 |
| Practice phone | 602-344-1095 |
| Mailing address | 2929 E Thomas Rd, Phoenix, AZ 85016 |
| Enumerated | September 9, 2009 |
| Last updated | July 21, 2014 |
| Authorized official | Teresa Cordeiro, Credentialing Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.