Ultimate Integrated Patient Care Pllc

NPI 1134491210 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1134491210
Enumeration Date 02/03/2012
Last Updated 02/03/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name VALARIE C. VALARIE
Position PHYSICIAN
Phone (480) 718-5986
Fax (480) 664-6813
Practice Location
13714 N PLAZA DEL RIO BLVD
PEORIA AZ, 85381-4874, US
Phone (480) 718-5986
Fax (480) 664-6813
Business Location
PO BOX 10214
GLENDALE AZ, 85318-0214, US
Phone (480) 718-5986
Fax (480) 664-6813
Toxanomy
Taxonomy Code 311Z00000X
License State Arizona
License Number 005286
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According to our database, Ultimate Integrated Patient Care Pllc NPI is 1134491210, taxonomy code is 311Z00000X and license number is 005286, license state is located at Arizona. Ultimate Integrated Patient Care Pllc physically located at 13714 N Plaza Del Rio Blvd, Peoria AZ, 85381-4874. NPI Number 1033115704 has the healthcare provider type.

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1134491210 NPI number is provided on an as is basis without warranty of any kind. 1134491210 is maintained by the National Plan & Provider Enumeration System. The contents of Ultimate Integrated Patient Care Pllc are for informational purposes only.