# DESERT VALLEY WELLNESS MEDICAL GROUP, PC

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

## Provider details

- **NPI number:** 1861789802
- **Authorized official:** JILLIAN M ZAVARELLA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (623) 979-9981

## Contact information

- **Practice address:** 7200 W BELL RD, SUITE E-103, GLENDALE, AZ 85308-8529
- **Practice address phone:** (623) 979-9981
- **Practice address fax:** (623) 979-9901
- **Mailing address:** 7200 W BELL RD, SUITE E-103, GLENDALE, AZ 85308-8529
- **Mailing address phone:** (623) 979-9981
- **Mailing address fax:** (623) 979-9901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 12/13/2012