Organization
HOUSE CALLS OF THE VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT FIAMENGO (CEO)
(602) 899-2072
Entity
Organization
Contact information
Practice address
12705 W VISTA PASEO DR, LITCHFIELD PARK, AZ 85340-5523
(602) 899-2072
Mailing address
12705 W VISTA PASEO DR, LITCHFIELD PARK, AZ 85340-5523
(602) 616-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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