Organization
NORTH VALLEY HEAD AND NECK SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R. GROVER (SENIOR VICE PRESIDENT)
(602) 216-6680
Entity
Organization
Contact information
Practice address
9327 N 3RD ST, SUITE 202, PHOENIX, AZ 85020-2470
(602) 216-6686
(602) 216-6688
Mailing address
PO BOX 9907, PHOENIX, AZ 85068-0907
(602) 216-6686
(602) 216-6688
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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