Organization
GILA VALLEY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN JONES M.D. (OWNER)
(928) 428-1377
Entity
Organization
Contact information
Practice address
1680 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 428-1377
(928) 348-8570
Mailing address
1680 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 428-1377
(928) 348-8570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121963
—
AZ
Enumeration date
10/26/2007
Last updated
09/20/2011
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