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Organization
VALLEY SURGICAL COLORECTAL SPECIALISTS LLC
Active
Organization
VALLEY SURGICAL COLORECTAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J SHIVELY (AUTHORIZED OFFICIAL)
(602) 996-4747
Entity
Organization
Contact information
Practice address
4022 E GREENWAY RD STE 11195, PHOENIX, AZ 85032-0445
(480) 896-9888
(602) 953-5466
Mailing address
4022 E GREENWAY RD STE 11195, PHOENIX, AZ 85032-4797
(480) 896-9888
(602) 953-5466
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
04/21/2026
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