| Desert Mountain Medical Group, Inc. | |
|
18523 Corwin Rd Ste E Apple Valley CA 92307-2300 | |
| (760) 242-1222 | |
| Not Available |
| Full Name | Desert Mountain Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 18523 Corwin Rd Ste E, Apple Valley, California |
| Authorized Official Name and Position | Michael Norman (PRESIDENT/PRACTITIONER) |
| Authorized Official Contact | 7602421222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Mountain Medical Group, Inc. 18523 Corwin Rd Ste E Apple Valley CA 92307-2300 Ph: (760) 242-1222 | Desert Mountain Medical Group, Inc. 18523 Corwin Rd Ste E Apple Valley CA 92307-2300 Ph: (760) 242-1222 |
| NPI Number | 1083002257 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 07/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083002257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A6319 (California) | Primary |
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