# VALLEY MEDICAL MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1558675496
- **Authorized official:** DR. CHARLES ROBERT LINDSAY D O (OWNER)
- **Authorized official phone:** (928) 565-3939

## Contact information

- **Practice address:** 4263 HWY 68 STE C, GOLDEN VALLEY, AZ 86413-8569
- **Practice address phone:** (928) 565-3939
- **Practice address fax:** (928) 565-5386
- **Mailing address:** 4263 HWY 68 STE C, GOLDEN VALLEY, AZ 86413-8569
- **Mailing address phone:** (928) 565-3939
- **Mailing address fax:** (928) 565-5386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 793 | AZ | Yes |

## Other

- **Enumeration date:** 08/03/2010
- **Last updated:** 08/03/2010
