# VALLEY ASSOCIATES PRS PLLC

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

## Provider details

- **NPI number:** 1447729975
- **Authorized official:** MATHEW JAMES (PATIENT ACCOUNTS)
- **Authorized official phone:** (631) 827-8159

## Contact information

- **Practice address:** 10910 N TATUM BLVD STE B100, PHOENIX, AZ 85028-3080
- **Practice address phone:** (631) 827-8159
- **Mailing address:** 10910 N TATUM BLVD STE B100, PHOENIX, AZ 85028-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | Yes |
| 2086S0102X | Surgical Critical Care Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2018
- **Last updated:** 11/14/2018