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Organization

DESERT PRINCESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD DEMIR MD (OWNER)
(480) 544-6900
Entity
Organization

Contact information

Practice address
5133 N CENTRAL AVE, 100, PHOENIX, AZ 85012-1438
(480) 559-4776
(866) 526-7086
Mailing address
8711 E PINNACLE PEAK RD, BOX 218, SCOTTSDALE, AZ 85255-3517
(480) 559-4776
(866) 526-7086

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36773
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203537
AZ
Enumeration date
05/25/2016
Last updated
04/24/2017
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