| NPI | 1508934977 |
|---|---|
| Doing Business As | DESERT FAMILY MEDICINE OF GREEN VALLEY |
| Entity Type | Organization |
| Authorized Contact | DAVID S GOTHELF President 702-269-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 1100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 479) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-04-19 |