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Desert Ear, Nose & Throat Medical Group, INC.

Otolaryngology in Rancho Mirage, CA. Organization (NPI-2).

NPI number1477513745
StatusActive
Last updated in NPPESJul 21, 2023

Details

NPI
1477513745
Entity type
Organization (NPI-2)
Legal business name
Desert Ear, Nose & Throat Medical Group, INC.
Organization subpart
No
Enumeration date
Mar 23, 2006
Certification date
Jul 21, 2023
Last updated
Jul 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology––Yes
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck––
207YX0901X Otolaryngology, Otology & Neurotology––

Practice location

71687 Highway 111 Ste 101
Rancho Mirage, CA 92270-4515

Phone 760-340-4566 · Fax 760-340-2481

Mailing address

71687 Highway 111 Ste 101
Rancho Mirage, CA 92270-4515

Phone 760-340-4566 · Fax 760-340-2481

Authorized official

Christopher Walz
Partner/Delegated Official
7603404566

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