Organization
VALLEY VIEW PHYSICIAN PRACTICES LLC
Active
Other names
VALLEY VIEW GENERAL AND VASCULAR SURGERY, Valley View OB/GYN, Valley View Ear, Nose & Throat
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 86426-6664
(928) 768-1200
(928) 768-1209
Mailing address
1520 E HAMMER LN, STE 104, FORT MOHAVE, AZ 86426-6664
(928) 768-1200
(928) 768-1209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
5566
AZ
2086S0129X
Vascular Surgery Physician
5566
AZ
Other
Enumeration date
04/13/2016
Last updated
01/12/2025
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