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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