MARYVALE MEDICAL LLC

PHOENIX, AZ
NPI1538662077
Entity TypeOrganization
Authorized ContactCHALLEN WAYCHOFF
COO/Manager
480-634-6400
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2018-03-12
Last Update Date2018-03-12
Business Address
MARYVALE MEDICAL LLC
7141 W THOMAS RD STE 101
PHOENIX, AZ 85033-5518
Phone number: 480-634-6400
Mailing Address
MARYVALE MEDICAL LLC
3724 N 3RD ST STE 301
PHOENIX, AZ 85012-2035
Phone number: 480-634-6400