Valley Infections Disease Medical Group INC a Medical Corporation

NPI #1043241136 in Newhall, California

Provider Information

NPI Number
1043241136
Entity Type
Organization
Organization Name
Valley Infections Disease Medical Group INC a Medical Corporation
Primary Specialty
Specialist
Enumeration Date
Jul 6, 2006
Last Updated
May 10, 2017

Practice Location

Address
23928 LYONS AVE
Address 2
#208
ZIP Code
91321-2409
Phone
(661) 255-8544

Authorized Official

Name
DR. ELLSWORTH PAXTON PRYOR, III, M.D
Title
PRESIDENT
Phone
(661) 255-8544

Specialties & Taxonomy Codes

Specialty
Specialist

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