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DEER VALLEY OB-GYN LLC NPI 1568648210


NPI Information

NPI: 1568648210
Provider Name: DEER VALLEY OB-GYN LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1715 W NORTHERN AVE
SUITE 108
PHOENIX, AZ
ZIP 85021
Phone: (602) 395-0718
Get Directions

DEER VALLEY OB-GYN LLC is an obstetrics gynecology in Phoenix, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DEER VALLEY OB-GYN LLC NPI is 1568648210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1715 W NORTHERN AVE
SUITE 108
PHOENIX, AZ
ZIP 85021-472
Phone: (602) 395-0718
Fax: (602) 277-8146

The provider's authorized official is Victor Kissil .
The authorized official title is President and has the following contact phone number (608) 395-0718.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 4/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology3735ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z120927MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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