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Organization
RESTORE DME MEDICAL GROUP, LLC
Active
Organization
RESTORE DME MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CHRISTIAAN ALLEN M.D. (OWNER)
(480) 689-9205
Entity
Organization
Contact information
Practice address
6410 S KINGS RANCH RD, STE 1, GOLD CANYON, AZ 85118-7352
(480) 689-9205
(480) 288-2879
Mailing address
6410 S KINGS RANCH RD, STE 1, GOLD CANYON, AZ 85118-7352
(480) 689-9205
(480) 288-2879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30153
AZ
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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