Organization
DESERT HORIZON MEDICAL GROUP
Active
Organization
DESERT HORIZON MEDICAL GROUP
Active
Other names
Desert Horizon Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK STACK MD (OWNER/ PROVIDER)
(520) 421-1122
Entity
Organization
Contact information
Practice address
2501 E SOUTHERN AVE, SUITE 4, TEMPE, AZ 85282-7669
(520) 421-1122
(520) 421-0751
Mailing address
PO BOX 13410, CHANDLER, AZ 85248-0041
(520) 421-1122
(520) 421-0751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
09/18/2015
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