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NPI Verification

National Provider Identifier: 1164918124

Athena Medical Group

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

16515 S 40TH ST STE 143

PHOENIX, AZ 850480560

Phone: 480-712-8319

NPI Enumeration Date

July 2, 2018

NPI Number

1164918124

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry