Organization
VALLEY JOINT RESTORATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN JENNINGS (CLINIC OWNER)
(480) 231-9569
Entity
Organization
Contact information
Practice address
5111 N SCOTTSDALE RD STE 106, SCOTTSDALE, AZ 85250-7076
(480) 687-9096
Mailing address
5111 N SCOTTSDALE RD STE 106, SCOTTSDALE, AZ 85250-7076
(480) 231-9569
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/01/2023
Last updated
05/24/2023
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