Healthcare Provider Details

I. General information

NPI: 1508990185
Provider Name (Legal Business Name): VALLEY ENT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9097 E DESERT COVE AVE STE 200
SCOTTSDALE AZ
85260-6280
US

IV. Provider business mailing address

9097 E DESERT COVE AVE STE 200
SCOTTSDALE AZ
85260-6280
US

V. Phone/Fax

Practice location:
  • Phone: 480-614-5406
  • Fax: 480-214-9933
Mailing address:
  • Phone: 480-614-5406
  • Fax: 480-214-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIE M HERNANDEZ
Title or Position: BILLING OPERATIONS MANAGER
Credential:
Phone: 480-273-8510