# GILA VALLEY CLINIC, PC

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

## Provider details

- **NPI number:** 1255510228
- **Authorized official:** SUSAN JONES M.D. (OWNER)
- **Authorized official phone:** (928) 428-1377

## Contact information

- **Practice address:** 1680 S 20TH AVE, SAFFORD, AZ 85546-4011
- **Practice address phone:** (928) 428-1377
- **Practice address fax:** (928) 348-8570
- **Mailing address:** 1680 S 20TH AVE, SAFFORD, AZ 85546-4011
- **Mailing address phone:** (928) 428-1377
- **Mailing address fax:** (928) 348-8570

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 09/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 121963 | — | AZ |