# SUN VALLEY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1437422425
- **Authorized official:** AARON DEGROOT (OWNER)
- **Authorized official phone:** (623) 935-7788

## Contact information

- **Practice address:** 17215 N 72ND DR, SUITE C-125, GLENDALE, AZ 85308-8558
- **Practice address phone:** (623) 935-7788
- **Mailing address:** 17215 N 72ND DR, SUITE C-125, GLENDALE, AZ 85308-8558
- **Mailing address phone:** (623) 935-7788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 5917 | AZ | — |
| 207Q00000X | Family Medicine Physician | 4105 | AZ | Yes |
| 261QU0200X | Urgent Care Clinic/Center | 4105 | AZ | — |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 02/22/2012
