# VALLEY SURGICAL COLORECTAL SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1942167424
- **Authorized official:** CYNTHIA J SHIVELY (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (602) 996-4747

## Contact information

- **Practice address:** 4022 E GREENWAY RD STE 11195, PHOENIX, AZ 85032-0445
- **Practice address phone:** (480) 896-9888
- **Practice address fax:** (602) 953-5466
- **Mailing address:** 4022 E GREENWAY RD STE 11195, PHOENIX, AZ 85032-4797
- **Mailing address phone:** (480) 896-9888
- **Mailing address fax:** (602) 953-5466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2026
- **Last updated:** 04/21/2026