Provider Demographics
NPI:1467207050
Name:AZ VALLEY PHYSICIANS LLC
Entity Type:Organization
Organization Name:AZ VALLEY PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-337-1123
Mailing Address - Street 1:5802 N 88TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-2093
Mailing Address - Country:US
Mailing Address - Phone:480-213-0232
Mailing Address - Fax:623-440-7820
Practice Address - Street 1:5802 N 88TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-2093
Practice Address - Country:US
Practice Address - Phone:480-213-0232
Practice Address - Fax:623-440-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty