Provider Demographics
NPI:1316336845
Name:UNITED PHYSICIANS GROUP LLC
Entity type:Organization
Organization Name:UNITED PHYSICIANS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-363-1116
Mailing Address - Street 1:13462 W JESSE RED DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-7904
Mailing Address - Country:US
Mailing Address - Phone:023-631-1166
Mailing Address - Fax:
Practice Address - Street 1:20235 N CAVE CREEK RD
Practice Address - Street 2:STE 104, #622
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4455
Practice Address - Country:US
Practice Address - Phone:602-363-1116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X
AZ005591208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty