Organization
DESERET MEDICAL ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C ALLEN MD (OWNER)
(480) 761-2500
Entity
Organization
Contact information
Practice address
6410 S KINGS RANCH RD STE 1, GOLD CANYON, AZ 85118
(480) 981-3000
(480) 325-3614
Mailing address
6410 S KINGS RANCH RD STE 1, GOLD CANYON, AZ 85118-7352
(480) 761-2500
(480) 378-2743
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/19/2018
Last updated
03/28/2024
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