| NPI | 1265651947 |
|---|---|
| Former Legal Business Name | VALLEY EAR, NOSE AND THROAT SURGEONS |
| Entity Type | Organization |
| Authorized Contact | KEVIN EDWARD KELLY President 602-678-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-07-30 |