NPI 1780220426

Green Valley Physical Medicine, INC

Organisation General Practice Physician Green Valley, AZ

Practice location

Address: 380 W Vista Hermosa Dr, Green Valley, AZ 85614-1999
Phone: (520) 648-2225
Fax: (520) 625-9777

Authorised official

Name: Christopher Cade Broderick
Title: Owner
Phone: (520) 648-2225

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Arizona →

Registry record

NPI: 1780220426
Entity type: Organization
NPI issued: 18 Nov 2019
Record last updated: 18 Nov 2019

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.