| Denova Collaborative Health, Llc | |
|
13128 N 94th Dr Ste 202 Peoria AZ 85381-4253 | |
| (602) 230-7373 | |
| Not Available |
| Full Name | Denova Collaborative Health, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 13128 N 94th Dr Ste 202, Peoria, Arizona |
| Authorized Official Name and Position | Graham Johnson (CEO) |
| Authorized Official Contact | 6022307373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denova Collaborative Health, Llc 3101 N Central Ave Ste 500 Phoenix AZ 85012-2639 Ph: (602) 230-7373 | Denova Collaborative Health, Llc 13128 N 94th Dr Ste 202 Peoria AZ 85381-4253 Ph: (602) 230-7373 |
| NPI Number | 1740079060 |
|---|---|
| Provider Enumeration Date | 05/02/2025 |
| Last Update Date | 05/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740079060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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