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Organization
BETHANY MEDICAL L.L.C
Active
Organization
BETHANY MEDICAL L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINE E OKON (ADMINISTRATOR)
(623) 847-9800
Entity
Organization
Contact information
Practice address
5832 W. SAN MIGUEL AVE #6, GLENDAL, AZ 85301
(623) 939-6224
(623) 939-6224
Mailing address
5832 W. SAN MIGUEL AVE #6, GLENDAL, AZ 85301
(623) 939-6224
(623) 939-6224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15873
AZ
Other
Enumeration date
04/04/2007
Last updated
07/31/2008
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