WEST VALLEY OTC LLC NPI 1447799796

NPI Information

NPI: 1447799796
Provider Name: WEST VALLEY OTC LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
ZIP 85392
Phone: (623) 935-9920
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WEST VALLEY OTC LLC is a multi-specialty clinic center in Avondale, AZ. WEST VALLEY OTC LLC NPI is 1447799796. The provider is registered as an organization entity type.

The provider's business location address is:

12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ
ZIP 85392-505
Phone: (623) 935-9920

The provider's authorized official is Thomas Morgan .
The authorized official title is Sole Mbr and has the following contact phone number (623) 935-9920.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 2/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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