Organization
SUN VALLEY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOJO HOERTIG (OPERATIONS MANAGER)
(623) 935-7788
Entity
Organization
Contact information
Practice address
12409 WEST INDIAN SCHOOL ROAD, BUILDING E, AVONDALE, AZ 85392
(623) 536-5353
(623) 935-7790
Mailing address
17215 NORTH 72ND DRIVE, SUITE C-125, GLENDALE, AZ 85308
(623) 935-7788
(623) 935-7790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2008
Last updated
01/27/2012
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