Gila Valley Clinic PC

NPI #1740767664 in Safford, Arizona

Provider Information

NPI Number
1740767664
Entity Type
Organization
Organization Name
Gila Valley Clinic PC
Subpart
Yes (part of a larger organization)
Parent Organization
GILA VALLEY CLINIC PC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jul 24, 2018
Last Updated
Sep 7, 2018

Practice Location

Address
1680 S 20TH AVE
State
Arizona
ZIP Code
85546
Phone
(928) 428-1377

Authorized Official

Name
DONNA S. COCA
Title
BUSINESS MANAGER
Phone
(928) 428-1377

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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Provider Name
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Part of Mt Graham Regional Medical Center INC

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