Sun Valley Internist LLC

NPI #1194146555 in Sun City, Arizona

Provider Information

NPI Number
1194146555
Entity Type
Organization
Organization Name
Sun Valley Internist LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jan 2, 2014
Last Updated
Jan 2, 2014

Practice Location

Address
14815 N DEL WEBB BLVD
Address 2
#2
State
Arizona
ZIP Code
85351-2145
Phone
(623) 977-3300

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 964-1506

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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