| Denova Collaborative Health, Llc | |
|
235 W Western Ave Avondale AZ 85323-1848 | |
| (602) 230-7373 | |
| (623) 230-3086 |
| Full Name | Denova Collaborative Health, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 235 W Western Ave, Avondale, Arizona |
| Authorized Official Name and Position | Graham Johnson (CEO) |
| Authorized Official Contact | 6022307373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denova Collaborative Health, Llc 3101 N Central Ave Ste 550 Phoenix AZ 85012-2635 Ph: (602) 230-7373 | Denova Collaborative Health, Llc 235 W Western Ave Avondale AZ 85323-1848 Ph: (602) 230-7373 |
| NPI Number | 1689153769 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689153769 | NPI | - | NPPES |
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