Organization
DESERT MOUNTAIN MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NORMAN DO (PRESIDENT/PRACTITIONER)
(760) 242-1222
Entity
Organization
Contact information
Practice address
18523 CORWIN RD STE E, APPLE VALLEY, CA 92307-2300
(760) 242-1222
Mailing address
18523 CORWIN RD STE E, APPLE VALLEY, CA 92307-2300
(760) 242-1222
(760) 242-2241
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A6319
CA
Other
Enumeration date
12/22/2014
Last updated
07/25/2019
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