Organization
DV PROFESSIONAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINOO RAHIMI (CFO)
(480) 926-7800
Entity
Organization
Contact information
Practice address
21001 N TATUM BLVD STE 78-1640, PHOENIX, AZ 85050-5244
(480) 773-7662
Mailing address
2250 E GERMANN RD STE 8, CHANDLER, AZ 85286-1575
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/13/2020
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