Organization
SUN VALLEY SURGICAL PHYSICIAN ASSISTANT, LLC
Active
Organization
SUN VALLEY SURGICAL PHYSICIAN ASSISTANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SPEER PA (PHYSICIAN ASSISTANT)
(623) 810-7539
Entity
Organization
Contact information
Practice address
9031 W RUNION DR, PEORIA, AZ 85382-6472
(623) 810-7539
Mailing address
9031 W RUNION DR, PEORIA, AZ 85382-6472
(623) 810-7539
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3332
AZ
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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