Organization
MARYVALE INTEGRATED MEDICAL GROUP - LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D PERRY MD (MD PRESIDENT)
(623) 848-3295
Entity
Organization
Contact information
Practice address
5251 W CAMPBELL AVE, STE 206, PHONEIX, AZ 85031
(623) 848-3020
(623) 848-3019
Mailing address
5251 W CAMPBELL AVE, STE 206, PHONEIX, AZ 85031
(623) 848-3020
(623) 848-3019
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
AZ
Other
Enumeration date
06/11/2007
Last updated
07/21/2022
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