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Organization

VALLEY INTEGRATED MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES O BOEHLE (DIRECTOR)
(602) 424-4450
Entity
Organization

Contact information

Practice address
6036 N 19TH AVE STE 405, PHOENIX, AZ 85015-2142
(602) 424-4450
(602) 445-7342
Mailing address
6036 N 19TH AVE STE 405, PHOENIX, AZ 85015-2142
(602) 424-4450
(602) 445-7342

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
31029
AZ

Other

Enumeration date
06/29/2010
Last updated
06/29/2010
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