Organization
SUN VALLEY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON DEGROOT (OWNER)
(623) 935-7788
Entity
Organization
Contact information
Practice address
17215 N 72ND DR, SUITE C-125, GLENDALE, AZ 85308-8558
(623) 935-7788
Mailing address
17215 N 72ND DR, SUITE C-125, GLENDALE, AZ 85308-8558
(623) 935-7788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5917
AZ
207Q00000X
Family Medicine Physician
Primary
4105
AZ
261QU0200X
Urgent Care Clinic/Center
4105
AZ
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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