| Moon Valley | |
|
750 E Thunderbird Rd Suite 3 Phoenix AZ 85022-5306 | |
| (623) 434-6200 | |
| Not Available |
| Full Name | Moon Valley |
|---|---|
| Speciality | Family Medicine |
| Location | 750 E Thunderbird Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Savas Petrides (SVP/CEO) |
| Authorized Official Contact | 4806964020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Valley 2500 W Utopia Rd Suite 100 Phoenix AZ 85027-4171 Ph: (480) 696-4020 | Moon Valley 750 E Thunderbird Rd Suite 3 Phoenix AZ 85022-5306 Ph: (623) 434-6200 |
| NPI Number | 1487003919 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487003919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Primary |
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