Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Medical Group, LLC

Organization Family Medicine Physician · NPI 1336679414

Prime Medical Group, LLC provides Family Medicine Physician services in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

652 E Warner Rd Ste 107
Gilbert, AZ 85296-3073
Phone: (480) 539-8680
Fax: (480) 539-1763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (AZ)

Record details

NPI number1336679414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andria Keeble — Office Manager · (480) 539-8680
NPI enumeratedJune 12, 2017
Last updated in NPPESJuly 21, 2022
Mailing address652 E Warner Rd Ste 107, Gilbert, AZ 85296-3073

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