NPI | 1770654105 |
---|---|
Doing Business As | CMG DEER VALLEY HEALTHCARE CENTER, DEER VALLEY |
Entity Type | Organization |
Authorized Contact | KEVIN ELLIS Chief Medical Director 623-277-2246 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC 0643) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2014-02-06 |