EAST VALLEY JOINT CLINIC LLC is a family nurse practitioner in Chandler, AZ. EAST VALLEY JOINT CLINIC LLC NPI is 1952771024. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Divine Iv And Wellness.
The provider's business location address is:
2231 E PECOS ROAD
STE 4
CHANDLER, AZ
ZIP 85225-228
Phone: (480) 718-1444
Fax: (480) 718-7729
The provider's authorized official is Joost Berkhout .
The authorized official title is Managing Member and has the following contact phone number (480) 718-1444.
The CLIA number assigned to this NPI record is 03D2116238 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/2/2015 and was last updated on 5/4/2023.