| Organization Name: | VALLEY INJURY SPECIALISTS LLC |
| NPI Number: | 1902147903 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA MAZZARELLA (OWNER) |
| Mailing Address: | 7802 N 43rd Ave 5 Glendale |
| State: | AZ US |
| Postal Code: | 853018111 |
| Phone Number: | 6239151000 |
| Fax Number: | 6239340224 |
| NPI Enumeration Date: | 03/15/2013 |
| NPI Last Update Date: | 03/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |