| Desert Valley Primary Care Associates | |
|
79430 Highway 111 Suite #102 La Quinta CA 92253-4547 | |
| (760) 625-0569 | |
| (760) 777-4339 |
| Full Name | Desert Valley Primary Care Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 79430 Highway 111, La Quinta, California |
| Authorized Official Name and Position | Bradley Pierce Mudge (PRESIDENT) |
| Authorized Official Contact | 7607774339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Valley Primary Care Associates 79430 Highway 111 Suite #102 La Quinta CA 92253-4547 Ph: (760) 625-0569 | Desert Valley Primary Care Associates 79430 Highway 111 Suite #102 La Quinta CA 92253-4547 Ph: (760) 625-0569 |
| NPI Number | 1336583285 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336583285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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