Organization
DFDV HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FARNSWORTH (AUTHORIZED OFFICIAL)
(480) 628-2296
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 119, MESA, AZ 85206-4617
(480) 628-2296
Mailing address
4540 E BASELINE RD STE 119, MESA, AZ 85206-4617
(480) 628-2296
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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