Organization
ULTIMATE INTEGRATED PATIENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALARIE C. LOMAN DO (PHYSICIAN)
(480) 718-5986
Entity
Organization
Contact information
Practice address
13714 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4874
(480) 718-5986
(480) 664-6813
Mailing address
PO BOX 10214, GLENDALE, AZ 85318-0214
(480) 718-5986
(480) 664-6813
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
005286
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456982
—
AZ
Enumeration date
02/03/2012
Last updated
02/03/2012
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