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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