Organization
ANGELS VALLEY LEGS CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN SIMON JOEL EDOUARD (PA, SA-C)
(520) 527-8038
Entity
Organization
Contact information
Practice address
3333 W THUNDERBIRD RD APT 2069, PHOENIX, AZ 85053-8603
(520) 527-8038
(623) 889-0814
Mailing address
6739 W CACTUS RD, PEORIA, AZ 85381-5311
(520) 527-8038
(623) 889-0814
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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