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Organization

ARIZONA VALLEY MEDICINE PLLC

Active
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Organization

ARIZONA VALLEY MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL T ZOETEMAN M.D. (PRESIDENTT/PROVIDER)
(602) 995-5909
Entity
Organization

Contact information

Practice address
7550 N 19TH AVE, SUITE 103, PHOENIX, AZ 85021-7980
(602) 995-5909
(602) 864-9233
Mailing address
7550 N 19TH AVE, SUITE 103, PHOENIX, AZ 85021-7980
(602) 995-5909
(602) 864-9233

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
05/01/2017
Last updated
05/01/2017
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