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NPI Code Detail

MEDICARE: EAST VALLEY FAMILY PHYSICIANS PLC

MEDICARE: EAST VALLEY FAMILY PHYSICIANS PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist22891AZ

General Provider Information

NPI Number : 1629270160
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST VALLEY FAMILY PHYSICIANS PLC
Provider Business Mailing Address
First Line : 1455 W CHANDLER BLVD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-6177
Country : US
Telephone Number : 480-899-2900
Fax Number : 480-786-6309
Provider Business Practice Location Address
First Line : 1455 W CHANDLER BLVD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-6177
Country : US
Telephone Number : 480-899-2900
Fax Number : 480-786-6309
Authorized Official
Title or Position : ADMINISTRATIVE PHYSICIAN
Name : DR. PAIGE CATHERINE WALEND
Credential : MD
Telephone Number : 480-899-2900
Provider Enumeration Date : 06/05/2007
Last Update Date : 07/25/2016

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Directions to “EAST VALLEY FAMILY PHYSICIANS PLC ” Practice Location

Language Start Address Practice Location
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