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VAL VISTA LAKES FAMILY MEDICINE PC NPI 1487605481


NPI Information

NPI: 1487605481
Provider Name: VAL VISTA LAKES FAMILY MEDICINE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3331 E BASELINE RD
GILBERT, AZ
ZIP 85234
Phone: (480) 545-1100
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VAL VISTA LAKES FAMILY MEDICINE, PC is a family medicine in Gilbert, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VAL VISTA LAKES FAMILY MEDICINE, PC NPI is 1487605481. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3331 E BASELINE RD
GILBERT, AZ
ZIP 85234-633
Phone: (480) 545-1100
Fax: (480) 545-7181

The provider's authorized official is Kent Hatfield .
The authorized official title is President/ceo and has the following contact phone number (480) 545-1100.

The enumeration date for this NPI number is 5/14/2006 and was last updated on 7/11/2007.


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
1363AM0700XPhysician AssistantMedicalNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZWDBVTMEDICARE PINARIZONA

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

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