Your Visiting Doctor, Pllc

NPI 1417118563 - Family Medicine - 207QG0300X

NPI Details
NPI 1417118563
Enumeration Date 06/20/2008
Last Updated 06/03/2015
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Position OWNER
Phone (623) 587-4500
Fax (602) 680-7576
Practice Location
20325 N 51ST AVE
GLENDALE AZ, 85308-5674, US
Phone (623) 587-4500
Fax (602) 680-7576
Business Location
PO BOX 1149
PEORIA AZ, 85380-1149, US
Phone (623) 910-9730
Fax (602) 680-7576
Taxonomy Code 207QG0300X
License State Arizona
License Number 35176
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According to our database, Your Visiting Doctor, Pllc NPI is 1417118563, taxonomy code is 207QG0300X and license number is 35176, license state is located at Arizona. Your Visiting Doctor, Pllc physically located at 20325 N 51st Ave, Glendale AZ, 85308-5674. NPI Number 1033115704 has the healthcare provider type.

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1417118563 NPI number is provided on an as is basis without warranty of any kind. 1417118563 is maintained by the National Plan & Provider Enumeration System. The contents of Your Visiting Doctor, Pllc are for informational purposes only.