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 is a Family Medicine Physician 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
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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