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Sun Valley Medical Group

Family Medicine in Glendale, AZ. Organization (NPI-2).

NPI number1437422425
StatusActive
Last updated in NPPESFeb 22, 2012

Details

NPI
1437422425
Entity type
Organization (NPI-2)
Legal business name
Sun Valley Medical Group
Organization subpart
No
Enumeration date
Feb 22, 2012
Last updated
Feb 22, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4105AZYes
111N00000X Chiropractor5917AZ
261QU0200X Clinic/Center, Urgent Care4105AZ

Practice location

17215 N 72nd Dr
Suite C-125
Glendale, AZ 85308-8558

Phone 623-935-7788

Mailing address

17215 N 72nd Dr
Suite C-125
Glendale, AZ 85308-8558

Phone 623-935-7788

Authorized official

Aaron Degroot
Owner
6239357788

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