Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Restore DME Medical Group, LLC

Organization Family Medicine Physician · NPI 1104287697

Restore DME Medical Group, LLC provides Family Medicine Physician services in Gold Canyon, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6410 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-7352 Not confirmed with CMS for 10 years — call before visiting
Phone: (480) 689-9205
Fax: (480) 288-2879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30153 (AZ)

Record details

NPI number1104287697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Allen — Owner · (480) 689-9205
NPI enumeratedMarch 11, 2016
Last updated in NPPESMarch 11, 2016
Mailing address6410 S Kings Ranch Rd, Ste 1, Gold Canyon, AZ 85118-7352

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