# VALLEY BOUTIQUE CARE, PLLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215785696
- **Authorized official:** DR. WILLIAM F. GABBERT JR. DO (OWNER / CEO / CMO)
- **Authorized official phone:** (602) 686-0647

## Contact information

- **Practice address:** 1607 E TONOPAH DR, PHOENIX, AZ 85024-4321
- **Practice address phone:** (602) 686-0647
- **Mailing address:** 1607 E TONOPAH DR, PHOENIX, AZ 85024-4321
- **Mailing address phone:** (602) 686-0647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2024
- **Last updated:** 05/14/2024