Organization
YOUR VISITING DOCTOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPA DHARMARAJAN M.D. (OWNER)
(623) 910-9730
Entity
Organization
Contact information
Practice address
20325 N 51ST AVE, BLDG 6 SUITE 142, GLENDALE, AZ 85308-5674
(623) 587-4500
(602) 680-7576
Mailing address
PO BOX 1149, PEORIA, AZ 85380-1149
(623) 910-9730
(602) 680-7576
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35176
AZ
Other
Enumeration date
06/20/2008
Last updated
07/15/2016
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