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ANGELS VALLEY LEGS CARE CENTER PLLC NPI 1245979129


NPI Information

NPI: 1245979129
Provider Name: ANGELS VALLEY LEGS CARE CENTER PLLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
3333 W THUNDERBIRD RD APT 2069
PHOENIX, AZ
ZIP 85053
Phone: (520) 527-8038
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ANGELS VALLEY LEGS CARE CENTER PLLC is a surgical physician assistant in Phoenix, AZ. ANGELS VALLEY LEGS CARE CENTER PLLC NPI is 1245979129. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3333 W THUNDERBIRD RD APT 2069
PHOENIX, AZ
ZIP 85053-603
Phone: (520) 527-8038
Fax: (623) 889-0814

The provider's authorized official is Jean Simon Joel Edouard .
The authorized official title is Pa, Sa-c and has the following contact phone number (520) 527-8038.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 5/31/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.