Organization · Type 2 NPI
Angels Valley Legs Care Center PLLC
Surgical Physician Assistant · Phoenix, AZ
NPI number
1245979129
Active
Practice location
3333 W Thunderbird Rd Apt 2069
Phoenix, AZ 85053-8603
Fax (623) 889-0814
Mailing address
6739 W Cactus Rd
Peoria, AZ 85381-5311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1245979129
Angels Valley Legs Care Center PLLC's National Provider Identifier is 1245979129, issued on May 31, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on May 31, 2022.