DESERT MOUNTAIN FAMILY MEDICINE P.C. NPI 1366794919

NPI Information

NPI: 1366794919
Provider Name: DESERT MOUNTAIN FAMILY MEDICINE P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8428 E SHEA BLVD
SUITE 100
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 451-9191
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DESERT MOUNTAIN FAMILY MEDICINE P.C. is a primary care clinic center in Scottsdale, AZ. DESERT MOUNTAIN FAMILY MEDICINE P.C. NPI is 1366794919. The provider is registered as an organization entity type.

The provider's business location address is:

8428 E SHEA BLVD
SUITE 100
SCOTTSDALE, AZ
ZIP 85260-663
Phone: (480) 451-9191

The provider's authorized official is Vicki L Lugo .
The authorized official title is Practice Manager and has the following contact phone number (480) 451-9191.

The enumeration date for this NPI number is 10/6/2012 and was last updated on 10/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	21128	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B41225	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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