| Dera Health Llc | |
|
10 W Minnezona Ave Phoenix AZ 85013-4933 | |
| (206) 816-4594 | |
| Not Available |
| Full Name | Dera Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10 W Minnezona Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Benita Martin (DNP) |
| Authorized Official Contact | 2068164594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dera Health Llc 10 W Minnezona Ave Phoenix AZ 85013-4933 Ph: () - | Dera Health Llc 10 W Minnezona Ave Phoenix AZ 85013-4933 Ph: (206) 816-4594 |
| NPI Number | 1407500812 |
|---|---|
| Provider Enumeration Date | 02/05/2022 |
| Last Update Date | 02/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407500812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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