Organization
DESERT VISTA MULTICARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELLIS LEE DC (OWNER)
(480) 644-0644
Entity
Organization
Contact information
Practice address
116 N LINDSAY RD, #7, MESA, AZ 85213-9201
(480) 644-0644
Mailing address
116 N LINDSAY RD, #7, MESA, AZ 85213-9201
(480) 644-0644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/10/2007
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