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West Valley Otc Llc
Multi-Specialty Clinic/Center in Avondale, Arizona
NPI 1447799796

West Valley Otc Llc is a Multi-Specialty Clinic/Center based in Avondale, AZ and is specialized in Multi-Specialty. West Valley Otc Llc practices in Avondale, AZ. The NPI Number for West Valley Otc Llc is 1447799796 and holds a License No. (Arizona).

The current practice location address for West Valley Otc Llc is 12409 W Indian School Rd Ste B210, Avondale, AZ and can be reached out via phone at 623-935-9920.

Location: 12409 W Indian School Rd Ste B210, Avondale, AZ, 85392-9505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447799796
Provider Name
West Valley Otc Llc
Credential
Provider Entity Type
Organization
Address
12409 W Indian School Rd Ste B210, Avondale, AZ, 85392-9505
Phone Number
623-935-9920
Fax Number
Provider Enumeration Date
02/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12409 W Indian School Rd Ste B210
City
Avondale
State
Arizona
Zip
85392-9505
Phone Number
623-935-9920
Fax Number
person
Provider Business Mailing Address Details
Address
12409 W Indian School Rd Ste B210
City
Avondale
State
Arizona
Zip
85392-9505
Phone Number
623-935-9920
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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