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Sun Valley Affiliated Back Center Inc
Adult Health Nurse Practitioner in Gilbert, Arizona
NPI 1215940614

Sun Valley Affiliated Back Center Inc is an Adult Health Nurse Practitioner based in Mesa, AZ and is specialized in Adult Health. Sun Valley Affiliated Back Center Inc practices in Gilbert, AZ. The NPI Number for Sun Valley Affiliated Back Center Inc is 1215940614 and holds a License No. AP1086 (Arizona).

The current practice location address for Sun Valley Affiliated Back Center Inc is 1534 E Ray Rd, Gilbert, AZ and can be reached out via phone at 480-963-3608 and via fax at 480-855-5756. You can also correspond with Sun Valley Affiliated Back Center Inc through the mailing address at 2934 E HALE ST, MESA, AZ - 85213-5592 (mailing address contact number: 602-769-4982).

Location: 1534 E Ray Rd, Gilbert, AZ, 85213-5592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215940614
Provider Name
Sun Valley Affiliated Back Center Inc
Credential
Provider Entity Type
Organization
Address
1534 E Ray Rd, Gilbert, AZ, 85213-5592
Phone Number
480-963-3608
Fax Number
480-855-5756
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1534 E Ray Rd
City
Gilbert
State
Arizona
Zip
85296-4429
Phone Number
480-963-3608
Fax Number
480-855-5756
person
Provider Business Mailing Address Details
Address
2934 E Hale St
City
Mesa
State
Arizona
Zip
85213-5592
Phone Number
602-769-4982
Fax Number
480-855-5756
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
AP1086 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
AP1086 (Arizona)
Definition
Definition to come...
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