# SUN VALLEY FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1265696447
- **Authorized official:** JOJO HOERTIG (OPERATIONS MANAGER)
- **Authorized official phone:** (623) 935-7788

## Contact information

- **Practice address:** 12409 WEST INDIAN SCHOOL ROAD, BUILDING E, AVONDALE, AZ 85392
- **Practice address phone:** (623) 536-5353
- **Practice address fax:** (623) 935-7790
- **Mailing address:** 17215 NORTH 72ND DRIVE, SUITE C-125, GLENDALE, AZ 85308
- **Mailing address phone:** (623) 935-7788
- **Mailing address fax:** (623) 935-7790

## Taxonomy

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

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 01/27/2012