Desert Fountain Medical, Pllc

NPI #1639686546 in Fountain Hills, Arizona

Provider Information

NPI Number: 1639686546
Entity Type: Organization
Organization Name: Desert Fountain Medical, Pllc
Primary Specialty: General Practice
Enumeration Date: Jan 2, 2018
Last Updated: Jan 2, 2018

Practice Location

Address: 17100 E SHEA BLVD STE 320
City: Fountain Hills
State: Arizona
ZIP Code: 85268-6654
Phone: (480) 816-8300

Authorized Official

Name: GRANT ANDRES
Title: CLINIC DIRECTOR
Phone: (480) 816-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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