Organization
WEST VALLEY SURGICAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARVIS WALTERS DO (OWNER)
(209) 956-7732
Entity
Organization
Contact information
Practice address
14155 N 83RD AVE STE 105, PEORIA, AZ 85381-5640
(623) 201-8277
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7732
(209) 956-7738
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
10/04/2024
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