NPI | 1649802828 |
---|---|
Doing Business As | DESERT SANDS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | STEPHANIE A BRADY Owner 480-648-5217 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-02-06 |