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

Desert Fountain Medical, PLLC

Organization General Practice Physician · NPI 1639686546

Desert Fountain Medical, PLLC is a General Practice Physician in Fountain Hills, Arizona. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
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
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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 number1639686546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Andres — Clinic Director · (480) 816-8300
NPI enumeratedJanuary 2, 2018
Last updated in NPPESJanuary 2, 2018
Mailing address17100 E Shea Blvd Ste 320, Fountain Hills, AZ 85268-6654

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