| NPI | 1770917007 |
|---|---|
| Former Legal Business Name | VALLEY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CONNIE SVALENG CFO 928-634-2236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ OTC5537) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ OTC5537) |
| 363A00000X Physician Assistant (Licence: AZ OTC5537) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ OTC5537) | |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2014-06-05 |