Organization
ARIZONA VALLEY DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BUCKNER DC (MANAGING MEMBER)
(877) 504-7362
Entity
Organization
Contact information
Practice address
4765 S LAKESHORE DR, TEMPE, AZ 85282
(520) 490-8368
Mailing address
PO BOX 11180, TEMPE, AZ 85284-0020
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
11/01/2018
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