| Desert Physical Medicine | |
|
81765 Highway 111, Ste #3 Indio CA 92201 | |
| (760) 863-5955 | |
| (760) 863-5655 |
| Full Name | Desert Physical Medicine |
|---|---|
| Speciality | General Practice |
| Location | 81765 Highway 111, Ste #3, Indio, California |
| Authorized Official Name and Position | Marco A Cazares (GENERAL MANAGER) |
| Authorized Official Contact | 7608635955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Physical Medicine 81765 Highway 111, Ste #3 Indio CA 92201 Ph: (760) 863-5955 | Desert Physical Medicine 81765 Highway 111, Ste #3 Indio CA 92201 Ph: (760) 863-5955 |
| NPI Number | 1700363645 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700363645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A6613 (California) | Primary |
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