Organization
DENOVA COLLABORATIVE HEALTH, LLC
Active
Other names
Denova Collaborative Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAHAM JOHNSON MA (CEO)
(602) 230-7373
Entity
Organization
Contact information
Practice address
3330 N 2ND ST STE 601, PHOENIX, AZ 85012-2395
(602) 230-7373
(602) 230-5105
Mailing address
3101 N CENTRAL AVE STE 500, PHOENIX, AZ 85012-2639
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076465
—
AZ
Enumeration date
11/15/2006
Last updated
09/07/2023
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