Organization
DESERET FAMILY PRACTICE, LTD.
Active
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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