# DESERT VALLEY PRIMARY CARE PHYSICIANS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982795092
- **Authorized official:** DR. TRICIA KAY CROAKE-ULEMAN M.D. (OWNER)
- **Authorized official phone:** (602) 249-4805

## Contact information

- **Practice address:** 4527 N 27TH AVE, PHOENIX, AZ 85017-3702
- **Practice address phone:** (602) 249-4508
- **Practice address fax:** (602) 249-1614
- **Mailing address:** 4527 N 27TH AVE, PHOENIX, AZ 85017-3702
- **Mailing address phone:** (602) 249-4508
- **Mailing address fax:** (602) 249-1614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35485 | AZ | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113500 | — | AZ |