Healthcare Provider Details

I. General information

NPI: 1235250267
Provider Name (Legal Business Name): DESERT MEDICAL GROUP, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 N BEVERLY AVE SUITE 105
TUCSON AZ
85712-2154
US

IV. Provider business mailing address

2121 N BEVERLY AVE SUITE 105
TUCSON AZ
85712-2154
US

V. Phone/Fax

Practice location:
  • Phone: 520-327-6265
  • Fax: 520-327-9300
Mailing address:
  • Phone: 520-327-6265
  • Fax: 520-327-9300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number6070
License Number StateAZ

VIII. Authorized Official

Name: J. STEVEN STRONG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 520-327-6265