Organization
DESERT VALLEY RADIOLOGY, PLC
Active
Other names
Desert Valley Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J WALL III M.D. (PRESIDENT)
(602) 867-0404
Entity
Organization
Contact information
Practice address
5424 E. SOUTHERN AVE., STE. 101, MESA, AZ 85206-3621
(480) 776-5340
(480) 776-5344
Mailing address
4045 E. BELL RD., STE. 143, PHOENIX, AZ 85032-2245
(602) 867-0404
(602) 788-0893
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333218
—
AZ
Enumeration date
10/10/2006
Last updated
03/08/2011
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