| Wvf LLC | |
|
12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 | |
| (623) 935-9920 | |
| Not Available |
| Full Name | Wvf LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 12409 W Indian School Rd Ste B210, Avondale, Arizona |
| Authorized Official Name and Position | Thomas Morgan (OWNER) |
| Authorized Official Contact | 6239359920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wvf LLC 12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 Ph: (623) 935-9920 | Wvf LLC 12409 W Indian School Rd Ste B210 Avondale AZ 85392-9505 Ph: (623) 935-9920 |
| NPI Number | 1033600432 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033600432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (NU) | Secondary |
| 208600000X | Surgery | (NU) | Secondary |
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