Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Desert Fountain Medical Inc

Organization General Practice Physician · NPI 1558863886

Desert Fountain Medical Inc provides General Practice Physician services in Fountain Hills, Arizona. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17100 E Shea Blvd Ste 320
Fountain Hills, AZ 85268-6654
Phone: (480) 816-8300
Fax: (480) 816-4016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1558863886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Andres — Executive Director · (480) 816-8300
NPI enumeratedMarch 2, 2018
Last updated in NPPESMarch 2, 2018
Mailing address17100 E Shea Blvd Ste 320, Fountain Hills, AZ 85268-6654

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