Organization
SCOTT S EKDAHL
Active
Other names
Chino Valley Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT S EKDAHL DO (MANAGING MEMBER)
(928) 636-4355
Entity
Organization
Contact information
Practice address
474 N HWY 89, CHINO VALLEY, AZ 86323-5993
(928) 636-4355
(928) 636-0754
Mailing address
474 N HWY 89, CHINO VALLEY, AZ 86323-5993
(928) 636-4355
(928) 636-0754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OTC2733
AZ
Other
Enumeration date
03/06/2007
Last updated
07/19/2012
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