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Organization

DESERT FOUNTAIN MEDICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRANT ANDRES (EXECUTIVE DIRECTOR)
(480) 816-8300
Entity
Organization

Contact information

Practice address
17100 E SHEA BLVD STE 320, FOUNTAIN HILLS, AZ 85268-6654
(480) 816-8300
(480) 816-4016
Mailing address
17100 E SHEA BLVD STE 320, FOUNTAIN HILLS, AZ 85268-6654
(480) 816-8300
(480) 816-4016

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
03/02/2018
Last updated
03/02/2018
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