Organization Name: | VALLEY VIEW PHYSICIAN PRACTICES LLC |
NPI Number: | 1386008506 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESS N JUDY (PRESIDENT) |
Mailing Address: | 1520 E Hammer Ln Ste 104 Fort Mohave |
State: | AZ US |
Postal Code: | 864266664 |
Phone Number: | 9287681200 |
Fax Number: | 9287681209 |
NPI Enumeration Date: | 04/13/2016 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 5566 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |