Organization
SUN VALLEY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WILLIAM HAMMOND (MEMBER)
(623) 399-8939
Entity
Organization
Contact information
Practice address
9299 W OLIVE AVE, SUITE 305, PEORIA, AZ 85345-8379
(623) 399-8939
Mailing address
9299 W OLIVE AVE, SUITE 305, PEORIA, AZ 85345-8379
(623) 399-8939
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
12/11/2008
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