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ATLAS MEDICAL GROUP, INC

Physicians Family Medicine

Provider NPI: 1053703801

Organization Information:
Organization Name:  ATLAS MEDICAL GROUP, INC
Organization is not Subpart
Authorized Official:  BENJAMIN  LARSEN  CEO  480-489-6784

Practice Location:
2350 E GERMANN RD STE 31 CHANDLER, AZ 85286-1579 US
Tel: 480-878-5306  Fax: 480-320-1391

Business Mailing Address:
2350 E GERMANN RD STE 31 CHANDLER, AZ 85286-1579 US
Tel: 480-878-5306  Fax: 480-320-1391

NPI Information:
NPI: 1053703801
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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