Organization
DESERT VALLEY PRIMARY CARE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA KAY CROAKE-ULEMAN M.D. (OWNER)
(602) 249-4805
Entity
Organization
Contact information
Practice address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(602) 249-4508
(602) 249-1614
Mailing address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(602) 249-4508
(602) 249-1614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35485
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113500
—
AZ
Enumeration date
09/27/2006
Last updated
08/22/2020
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