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1124649637
PEORIA PHYSICIAN GROUP
PEORIA, AZ
NPI
1124649637
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Entity Type
Organization
Authorized Contact
JEREMIAH FABER
CEO
480-258-3635
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
PEORIA PHYSICIAN GROUP
13760 N 93RD AVE STE 105
PEORIA, AZ 85381-4260
Phone number: 480-809-6589
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Mailing Address
PEORIA PHYSICIAN GROUP
PO BOX 964
GILBERT, AZ 85299-0964
Phone number: 480-366-4489
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