| West Valley Physician Group Llc | |
|
7710 W Lower Buckeye Rd Suite 115 Phoenix AZ 85043-3439 | |
| (623) 776-2225 | |
| (623) 776-2299 |
| Full Name | West Valley Physician Group Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7710 W Lower Buckeye Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Joseph L. Maher (OWNER/CEO) |
| Authorized Official Contact | 6235475385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Physician Group Llc 5115 N Dysart Rd Suite 202 #611 Litchfield Park AZ 85340-3032 Ph: (623) 547-5385 | West Valley Physician Group Llc 7710 W Lower Buckeye Rd Suite 115 Phoenix AZ 85043-3439 Ph: (623) 776-2225 |
| NPI Number | 1558654517 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 07/09/2012 |
| Medicare PECOS PAC ID | 2264604503 |
|---|---|
| Medicare Enrollment ID | O20111011000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558654517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Margaret L Mears |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356551550 PECOS PAC ID: 8022036417 Enrollment ID: I20051103001017 |
| Provider Name | Vikki L Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982674172 PECOS PAC ID: 5799725768 Enrollment ID: I20081229000209 |
| Provider Name | Jane M Abucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861730988 PECOS PAC ID: 3274779392 Enrollment ID: I20130416000516 |
| Provider Name | Debbie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457780306 PECOS PAC ID: 8729011978 Enrollment ID: I20140225002336 |
| Provider Name | Joseph L Maher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750399291 PECOS PAC ID: 3072508951 Enrollment ID: I20210623003611 |
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