| Desert View Clinic Inc | |
|
11361 N 99 Ave 101 Peoria AZ 85345 | |
| (623) 875-1328 | |
| (623) 875-4196 |
| Full Name | Desert View Clinic Inc |
|---|---|
| Speciality | Massage Therapist |
| Location | 11361 N 99 Ave, Peoria, Arizona |
| Authorized Official Name and Position | Georgia Ann Davis (ADM PRESIDENT) |
| Authorized Official Contact | 6238751328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert View Clinic Inc 11361 N 99 Ave 101 Peoria AZ 85345 Ph: (623) 875-1328 | Desert View Clinic Inc 11361 N 99 Ave 101 Peoria AZ 85345 Ph: (623) 875-1328 |
| NPI Number | 1346301835 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346301835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1916 (Arizona) | Primary |
| 225700000X | Massage Therapist | MT02472P (Arizona) | Primary |
| 225700000X | Massage Therapist | MT05297P (Arizona) | Primary |
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