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

Country Doctor Inc

Organization Primary Care Clinic/Center · NPI 1821550310

Country Doctor Inc is a Primary Care Clinic/Center in Peoria, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13260 N 94th Dr Ste 102
Peoria, AZ 85381-4242
Phone: (623) 815-0827
Fax: (623) 875-0325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1821550310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Manganelli — President · (623) 815-0827
NPI enumeratedApril 3, 2019
Last updated in NPPESApril 11, 2019
Mailing address13260 N 94th Dr Ste 102, Peoria, AZ 85381-4242

Other providers in Peoria