Individual
DR. RAYMOND R. VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9550 W VAN BUREN ST, SUITE 1, TOLLESON, AZ 85353-2826
(623) 936-7960
(623) 936-7980
Mailing address
9550 W VAN BUREN ST, SUITE 1, TOLLESON, AZ 85353-2826
(623) 936-7960
(623) 936-7980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22654
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179714
—
AZ
Enumeration date
08/31/2006
Last updated
07/08/2007
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