Healthcare Provider Details

I. General information

NPI: 1912817115
Provider Name (Legal Business Name): DESERT SAGE MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11720 S FOOTHILLS BLVD STE 11
YUMA AZ
85367-6261
US

IV. Provider business mailing address

PO BOX 25507
YUMA AZ
85367-1323
US

V. Phone/Fax

Practice location:
  • Phone: 928-247-9558
  • Fax:
Mailing address:
  • Phone: 928-247-9558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN B BARCKLAY
Title or Position: OWNER
Credential: MD
Phone: 858-755-4195