| Valley Direct Primary Care, Pllc | |
|
13970 W Woodbridge Ave Goodyear AZ 85395-1485 | |
| (646) 352-2619 | |
| Not Available |
| Full Name | Valley Direct Primary Care, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 13970 W Woodbridge Ave, Goodyear, Arizona |
| Authorized Official Name and Position | Tarun Bassi (OWNER) |
| Authorized Official Contact | 6235620130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Direct Primary Care, Pllc 13970 W Woodbridge Ave Goodyear AZ 85395-1485 Ph: (646) 352-2619 | Valley Direct Primary Care, Pllc 13970 W Woodbridge Ave Goodyear AZ 85395-1485 Ph: (646) 352-2619 |
| NPI Number | 1063021269 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063021269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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