NPI 1063021269
Valley Direct Primary Care, PLLC
Practice location
- Address
- 13970 W Woodbridge Ave, Goodyear, AZ 85395-1485
- Phone
- (646) 352-2619
Authorised official
- Name
- Tarun Bassi
- Title
- Owner
- Phone
- (623) 562-0130
Registered specialties
Clinic/Center
Primary
Registry record
- NPI
- 1063021269
- Entity type
- Organization
- NPI issued
- 24 Jul 2020
- Record last updated
- 1 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.