Organization
DESERT REHAB PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JUNG MD (OWNER)
(989) 798-3087
Entity
Organization
Contact information
Practice address
1675 E VILLA ST, PHOENIX, AZ 85006-4435
(480) 801-6700
Mailing address
16772 W BELL RD STE 110-619, SURPRISE, AZ 85374-9702
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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