Organization
DESERT MOUNTAIN MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORI KOVAC (MANAGAER)
(480) 462-7070
Entity
Organization
Contact information
Practice address
15215 S 48TH ST STE 156, PHOENIX, AZ 85044-9139
(480) 704-8818
Mailing address
15215 S 48TH ST STE 156, PHOENIX, AZ 85044-9139
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
04/09/2021
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