Healthcare Provider Details

I. General information

NPI: 1316010978
Provider Name (Legal Business Name): VALLEY ENDOCRINE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 S 63RD ST STE 105
MESA AZ
85206-6106
US

IV. Provider business mailing address

217 S 63RD ST STE 105
MESA AZ
85206-6106
US

V. Phone/Fax

Practice location:
  • Phone: 480-981-8088
  • Fax: 480-981-3883
Mailing address:
  • Phone: 480-981-8088
  • Fax: 480-981-3883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT C BIESBROECK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 480-981-8088