NPI | 1649256777 |
---|---|
Doing Business As | SOUTHEAST VALLEY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | SILVIA O'LEARY Office Manager 480-969-1446 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-12-20 |
Last Update Date | 2010-06-22 |