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Organization

VALLEY VIEW PHYSICIAN PRACTICES LLC

Active
Other names
Surgical Institute of Arizona
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE E LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization

Contact information

Practice address
1520 E HAMMER LN STE 104, FORT MOHAVE, AZ 86426-6665
(928) 788-2301
(928) 788-2304
Mailing address
1520 E HAMMER LN STE 104, FORT MOHAVE, AZ 86426-6665
(928) 788-2301
(928) 788-2304

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Enumeration date
10/14/2011
Last updated
01/12/2025
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