Organization
WEST VALLEY HEALTH EQUITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN BOUCHARD-BUJAK (DIRECTOR)
(623) 341-2825
Entity
Organization
Contact information
Practice address
4338 W THOMAS RD, ST 173, PHOENIX, AZ 85031-3878
(623) 400-5881
Mailing address
4338 W THOMAS RD, ST 173, PHOENIX, AZ 85031-3878
(623) 400-5881
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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