Organization
GREEN VALLEY PHYSICAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CADE BRODERICK DC (OWNER)
(520) 648-2225
Entity
Organization
Contact information
Practice address
380 W VISTA HERMOSA DR, GREEN VALLEY, AZ 85614-1999
(520) 648-2225
(520) 625-9777
Mailing address
380 W VISTA HERMOSA DR, GREEN VALLEY, AZ 85614-1999
(520) 648-2225
(520) 625-9777
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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