Organization Name: | EAST VALLEY FAMILY PHYSICIANS PLC |
NPI Number: | 1629270160 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAIGE CATHERINE WALEND (ADMINISTRATIVE PHYSICIAN) |
Mailing Address: | 1455 W Chandler Blvd Chandler |
State: | AZ US |
Postal Code: | 852246177 |
Phone Number: | 4808992900 |
Fax Number: | 4807866309 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 22891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |