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Organization

DENOVA COLLABORATIVE HEALTH, LLC

Active
Other names
Denova Collaborative Health, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GRAHAM JOHNSON (CEO)
(602) 230-7373
Entity
Organization

Contact information

Practice address
3330 N 2ND ST STE 601, PHOENIX, AZ 85012-2395
(602) 230-7373
(602) 682-7455
Mailing address
3101 N CENTRAL AVE STE 500, PHOENIX, AZ 85012-2639
(602) 230-7373
(602) 682-7455

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
04/14/2017
Last updated
09/07/2023
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