Organization
WEST VALLEY ENDOCRINOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANTHI SUPPIAH MD (MD)
(623) 825-4845
Entity
Organization
Contact information
Practice address
9150 W INDIAN SCHOOL RD, SUITE 118, PHOENIX, AZ 85037-2384
(623) 825-4845
Mailing address
9650 W BAJADA RD, PEORIA, AZ 85383-2904
(623) 825-4845
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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