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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