Organization
NCSRV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA LISA VALENZUELA (BILLER)
(623) 776-2225
Entity
Organization
Contact information
Practice address
7710 W LOWER BUCKEYE RD, SUITE 115, PHOENIX, AZ 85043-3439
(623) 776-2225
(623) 776-2299
Mailing address
7710 W LOWER BUCKEYE RD, SUITE 115, PHOENIX, AZ 85043-3439
(623) 776-2225
(623) 776-2299
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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