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Contact Information

DESERET MEDICAL ASSOCIATES PLC
6410 S KINGS RANCH RD STE 1
GOLD CANYON, AZ85118
 Phone: 480-981-3000
 Fax: 480-325-3614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Chiropractor

111N00000X 35 Chiropractic
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DESERET MEDICAL ASSOCIATES PLC · (Female)

NPI # 1962989244
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2018
Last updated 03/28/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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