Organization
WEST VALLEY PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE HERNANDEZ (OFFICE MANAGER)
(623) 873-0321
Entity
Organization
Contact information
Practice address
10750 W. MC DOWELL RD, STE G700, AVONDALE, AZ 85323
(623) 873-0321
(623) 849-9623
Mailing address
10750 W MC DOWELL RD, SUITE G700, AVONDALE, AZ 85392-5972
(623) 873-0321
(623) 265-6820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166985
—
AZ
Enumeration date
04/23/2007
Last updated
09/19/2024
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