SCOTTSDALE MEDICAL GROUP LLC - NPI 1659847036 - General Practice in Scottsdale, AZ

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About Scottsdale Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTTSDALE MEDICAL GROUP LLC (NPI 1659847036) is a healthcare organization registered as a general practice in Scottsdale, Arizona and active in the NPI registry since October 2018. The organization lists Michael Cormier, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1659847036

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSCOTTSDALE MEDICAL GROUP LLC

Location Address4432 N MILLER RD STE 102Scottsdale, AZ 85251-3697

Mailing Address4432 N Miller Rd Ste 102Scottsdale, AZ 85251-3697 · (480) 306-7227

Phone(480) 306-7227

Organization SubpartNo

Authorized OfficialMichael CormierAuthorized Official · (480) 306-7227

Enumeration DateOctober 23, 2018

Last NPPES UpdateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1659847036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4432 N MILLER RD STE 102, Scottsdale, AZ 85251

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP