NPI | 1972364966 |
---|---|
Doing Business As | WEST VALLEY OUTPATIENT SERVICES CENTER |
Entity Type | Organization |
Authorized Contact | JOHN HOGEBOOM Chief Operating Officer 480-831-7566 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-01-17 |
Last Update Date | 2024-01-17 |