Organization
DENOVA COLLABORATIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAHAM JOHNSON (CEO)
(602) 230-7373
Entity
Organization
Contact information
Practice address
555 W FOREST MEADOWS ST STE 18, FLAGSTAFF, AZ 86001-3601
(602) 230-7373
Mailing address
3101 N CENTRAL AVE STE 500, PHOENIX, AZ 85012-2639
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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