Organization
SUN VALLEY GERIATRIC MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW D SKINNER M.D. (PRESIDENT)
(623) 734-7414
Entity
Organization
Contact information
Practice address
6740 W DEER VALLEY RD, SUITE D 107, GLENDALE, AZ 85310-5953
(623) 734-7414
Mailing address
6740 W DEER VALLEY RD, SUITE D 107, GLENDALE, AZ 85310-5953
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
46497
AZ
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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