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1053974592
MARYVALE FACILITY GROUP LLC
PHOENIX, AZ
NPI
1053974592
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Entity Type
Organization
Authorized Contact
CHALLEN WAYCHOFF
COO/Manager
480-634-6400
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2019-04-19
Last Update Date
2019-05-03
Business Address
MARYVALE FACILITY GROUP LLC
7141 W THOMAS RD STE 102
PHOENIX, AZ 85033-5518
Phone number: 480-634-6400
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Mailing Address
MARYVALE FACILITY GROUP LLC
3724 N 3RD ST STE 301
PHOENIX, AZ 85012-2035
Phone number: 480-634-6400
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