NPI | 1982183737 |
---|---|
Other Name | DESERT SAGE MEDICAL HOME |
Entity Type | Organization |
Authorized Contact | NATIVIDAD GONZALEZ Medical Services Accounts Officer 915-742-2753 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2018-08-13 |
Last Update Date | 2024-11-08 |