Organization
DESERT PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO A CAZARES (GENERAL MANAGER)
(760) 863-5955
Entity
Organization
Contact information
Practice address
81765 HIGHWAY 111, STE #3, INDIO, CA 92201
(760) 863-5955
(760) 863-5655
Mailing address
81765 HIGHWAY 111, STE #3, INDIO, CA 92201
(760) 863-5955
(760) 863-5655
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A6613
CA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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