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Organization

DESERET FAMILY PRACTICE, LTD.

Active
Other names
Deseret Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT J ALLEN MD (PRESIDENT)
(480) 981-3000
Entity
Organization

Contact information

Practice address
1425 S GREENFIELD RD, 101, MESA, AZ 85206-5529
(480) 981-3000
(480) 654-5761
Mailing address
1425 S GREENFIELD RD, 101, MESA, AZ 85206-5529
(480) 981-3000
(480) 654-5761

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4101
AZ
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
006034
AZ
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/09/2006
Last updated
07/31/2017
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