Organization
VALLEY DIRECT PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARUN BASSI (OWNER)
(623) 562-0130
Entity
Organization
Contact information
Practice address
13970 W WOODBRIDGE AVE, GOODYEAR, AZ 85395-1485
(646) 352-2619
Mailing address
13970 W WOODBRIDGE AVE, GOODYEAR, AZ 85395-1485
(646) 352-2619
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
10/01/2021
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