Organization
DEER VALLEY OB-GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR KISSIL DO (PRESIDENT)
(608) 395-0718
Entity
Organization
Contact information
Practice address
1715 W NORTHERN AVE, SUITE 108, PHOENIX, AZ 85021-5472
(602) 395-0718
(602) 277-8146
Mailing address
19636 N 27TH AVE, SUITE 303, PHOENIX, AZ 85027-4013
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3735
AZ
Other
Enumeration date
01/11/2008
Last updated
04/14/2008
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