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Organization
NORTH VALLEY PODIATRY, LLC
Active
Organization
NORTH VALLEY PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY R. GROVER (SENIOR VICE PRESIDENT)
(602) 216-6680
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE, SUITE 208, PHOENIX, AZ 85027-4013
(602) 943-7115
(602) 943-7113
Mailing address
19636 N 27TH AVE, SUITE 208, PHOENIX, AZ 85027-4013
(602) 943-7115
(602) 943-7113
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
630
AZ
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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