Organization
EAST VALLEY INFECTIOUS DISEASES LLC
Active
Organization
EAST VALLEY INFECTIOUS DISEASES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYNN JEANNE PETERS CPC (CREDEENTIALER)
(480) 296-7642
Entity
Organization
Contact information
Practice address
1800 E FLORENCE BLVD, CASA GRANDE, AZ 85122-5303
(520) 426-6300
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
(480) 296-7665
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
48645
AZ
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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