Sun Valley Affiliated Back Center Inc in Mesa - Medical Specialty
Sun Valley Affiliated Back Center Inc - NPI 1215940614
Sun Valley Affiliated Back Center Inc is a Medical Specialty in Mesa, Arizona. Sun Valley Affiliated Back Center Inc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Sun Valley Affiliated Back Center Inc is 1215940614. The last update date is 2020-08-22.
Sun Valley Affiliated Back Center Inc's current location address is 2934 E Hale St, Mesa, Arizona. You can contact this provider via phone number 6027694982 and fax number 4808555756. The mailing address for Sun Valley Affiliated Back Center Inc is 2934 E Hale St, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sun Valley Affiliated Back Center Inc |
|---|---|
| Address | 2934 E Hale St, Mesa, Arizona |
| Phone Number | 6027694982 |
| Fax Number | 4808555756 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Graul Lynn Terry |
| Credentials | NP-C |
| Telephone Number | 4809633608 |
NPI Number Detail
| NPI Number | 1215940614 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2934 E Hale St |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852135592 |
| Phone Number | 6027694982 |
| Fax Number | 4808555756 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | AP1086 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the Sun Valley Affiliated Back Center Inc's unique identification number?
The Sun Valley Affiliated Back Center Inc has been assigned the NPI (National Provider Identifier) Number 1215940614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Sun Valley Affiliated Back Center Inc's physical address?
The Sun Valley Affiliated Back Center Inc is physically located at 2934 E Hale St, in the city of Mesa, AZ, with the postal code 852135592.
What is Sun Valley Affiliated Back Center Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sun Valley Affiliated Back Center Inc is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
On what date did the Sun Valley Affiliated Back Center Inc receive its 1215940614 assignment from the Centers for Medicare & Medicaid Services?
The Sun Valley Affiliated Back Center Inc was assigned its 1215940614 by the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date was the information regarding Sun Valley Affiliated Back Center Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sun Valley Affiliated Back Center Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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