Organization
WEST VALLEY OTC LLC
Active
Organization
WEST VALLEY OTC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MORGAN DC (SOLE MBR)
(623) 935-9920
Entity
Organization
Contact information
Practice address
12409 W INDIAN SCHOOL RD STE B210, AVONDALE, AZ 85392-9505
(623) 935-9920
Mailing address
12409 W INDIAN SCHOOL RD STE B210, AVONDALE, AZ 85392-9505
(623) 935-9920
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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