Organization
VALLEY VIEW PHYSICIAN PRACTICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
5300 HWY 95, SUITE A, FORT MOHAVE, AZ 86426-9251
(928) 768-1616
Mailing address
5300 HWY 95, SUITE A, FORT MOHAVE, AZ 86426-9251
(928) 768-1616
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
11/19/2012
Last updated
01/12/2025
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