# AFC PHYSICAL MEDICINE OF DESERT RIDGE,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669731303
- **Authorized official:** JOSHUA F. BOCK (MANAGING MEMBER)
- **Authorized official phone:** (480) 726-2287

## Contact information

- **Practice address:** 20860 N TATUM BLVD, SUITE 290, PHOENIX, AZ 85050-4274
- **Practice address phone:** (480) 563-1144
- **Practice address fax:** (480) 563-2371
- **Mailing address:** 1839 S ALMA SCHOOL RD STE 354, MESA, AZ 85210-3028
- **Mailing address phone:** (480) 726-2287
- **Mailing address fax:** (888) 316-9272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 7057360001 | AZ | — |

## Other

- **Enumeration date:** 05/15/2012
- **Last updated:** 12/08/2017