| West Valley Otc Llc | |
|
12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 | |
| (623) 935-9920 | |
| Not Available |
| Full Name | West Valley Otc Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12409 W Indian School Rd Ste B210, Avondale, Arizona |
| Authorized Official Name and Position | Thomas Morgan (SOLE MBR) |
| Authorized Official Contact | 6239359920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Otc Llc 12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 Ph: (623) 935-9920 | West Valley Otc Llc 12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 Ph: (623) 935-9920 |
| NPI Number | 1447799796 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447799796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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