MEDICARE: HONORHEALTH MEDICAL GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1992670749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONORHEALTH MEDICAL GROUP, LLC

Provider Business Mailing Address
First Line	:	2500 W UTOPIA RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 N 12TH ST STE 404
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2866
Country	:	US
Telephone Number	:	623-580-5800
Fax Number	:

Authorized Official
Title or Position	:	CMO
Name	:	JOHN NEIL
Credential	:
Telephone Number	:	480-587-5123

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	10/09/2025

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