Organization
PARADISE VALLEY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA SULEYMANOVA (OWNER)
(480) 828-0143
Entity
Organization
Contact information
Practice address
14631 N CAVE CREEK RD STE 101, PHOENIX, AZ 85022-4100
(480) 828-0143
Mailing address
14631 N CAVE CREEK RD STE 101, PHOENIX, AZ 85022-4100
(602) 429-8108
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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