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Organization
DESERT VALLEY WELLNESS MEDICAL GROUP, PC
Active
Organization
DESERT VALLEY WELLNESS MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN M ZAVARELLA (PRACTICE ADMINISTRATOR)
(623) 979-9981
Entity
Organization
Contact information
Practice address
7200 W BELL RD, SUITE E-103, GLENDALE, AZ 85308-8529
(623) 979-9981
(623) 979-9901
Mailing address
7200 W BELL RD, SUITE E-103, GLENDALE, AZ 85308-8529
(623) 979-9981
(623) 979-9901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/28/2011
Last updated
12/13/2012
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