Healthcare Provider Details

I. General information

NPI: 1700719267
Provider Name (Legal Business Name): PAYSON MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 S COLLEGE AVE
TEMPE AZ
85284-1477
US

IV. Provider business mailing address

7851 S COLLEGE AVE
TEMPE AZ
85284-1477
US

V. Phone/Fax

Practice location:
  • Phone: 480-603-5323
  • Fax:
Mailing address:
  • Phone: 480-603-5323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMIR ETEMAD
Title or Position: MD
Credential: MD
Phone: 480-603-5323