Organization
VALERE MEDICAL SOUTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW VIDAL J.D. (MANAGING PARTNER)
(312) 914-1303
Entity
Organization
Contact information
Practice address
11570 N MONIKA LEIGH PL, ORO VALLEY, AZ 85737-7262
(312) 914-1303
(773) 360-7210
Mailing address
2014 W AUGUSTA BLVD, UNIT 1, CHICAGO, IL 60622-4946
(773) 360-7475
(773) 360-7210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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