Organization
DESERT MOUNTAIN FAMILY MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI L LUGO (PRACTICE MANAGER)
(480) 451-9191
Entity
Organization
Contact information
Practice address
8428 E SHEA BLVD, SUITE 100, SCOTTSDALE, AZ 85260-6663
(480) 451-9191
Mailing address
11866 E MISSION LN, SCOTTSDALE, AZ 85259-5943
(480) 695-3429
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
21128
AZ
Other
Enumeration date
10/06/2012
Last updated
10/06/2012
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