| Denova Collaborative Health, Llc | |
|
555 W Forest Meadows St Ste 18 Flagstaff AZ 86001-3601 | |
| (602) 230-7373 | |
| Not Available |
| Full Name | Denova Collaborative Health, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 555 W Forest Meadows St Ste 18, Flagstaff, 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 500 Phoenix AZ 85012-2639 Ph: (602) 230-7373 | Denova Collaborative Health, Llc 555 W Forest Meadows St Ste 18 Flagstaff AZ 86001-3601 Ph: (602) 230-7373 |
| NPI Number | 1316777956 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316777956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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