Organization
PVIM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK M SLOAN M.D. (MEDICAL DIRECTOR)
(623) 773-2273
Entity
Organization
Contact information
Practice address
4494 W PEORIA AVE STE 115A, GLENDALE, AZ 85302-2020
(623) 773-2273
Mailing address
4494 W PEORIA AVE STE 115A, GLENDALE, AZ 85302-2020
(623) 773-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33520
AZ
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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