DESERT WEST FAMILY HEALTH CENTER P.C. NPI 1770740243

NPI Information

DESERT WEST FAMILY HEALTH CENTER, P.C. is a primary care clinic center in Tolleson, AZ. DESERT WEST FAMILY HEALTH CENTER, P.C. NPI is 1770740243. The provider is registered as an organization entity type.

The provider's business location address is:

9550 W VAN BUREN ST
SUITE 1
TOLLESON, AZ
ZIP 85353-826
Phone: (623) 936-7960
Fax: (623) 936-7980

The provider's authorized official is Raymond R Valdivia .
The authorized official title is President and has the following contact phone number (623) 936-7960.

The CLIA number assigned to this NPI record is 03D0531356 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 6/19/2013.

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:

Other Identifiers

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

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