Provider Demographics
NPI:1174753388
Name:VALLEY HEALTH, PLLC.
Entity type:Organization
Organization Name:VALLEY HEALTH, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-831-7601
Mailing Address - Street 1:2034 E SOUTHERN AVE
Mailing Address - Street 2:SUITE M
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7522
Mailing Address - Country:US
Mailing Address - Phone:480-831-7601
Mailing Address - Fax:480-831-5650
Practice Address - Street 1:2034 E SOUTHERN AVE
Practice Address - Street 2:SUITE M
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7522
Practice Address - Country:US
Practice Address - Phone:480-831-7601
Practice Address - Fax:480-831-5650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ17635174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE28404Medicare UPIN