Provider Demographics
NPI:1356857262
Name:PGF MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:PGF MEDICAL SERVICES PLLC
Other - Org Name:DIRECT 2 RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:FLATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-601-7430
Mailing Address - Street 1:5656 E ORANGE BLOSSOM LN STE 5
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-8139
Mailing Address - Country:US
Mailing Address - Phone:602-601-7429
Mailing Address - Fax:602-601-7428
Practice Address - Street 1:5656 E ORANGE BLOSSOM LN STE 5
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-8139
Practice Address - Country:US
Practice Address - Phone:602-601-7429
Practice Address - Fax:602-601-7428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-15
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ3162OtherSTATE LICENSE