CENTRO MEDICO DEL VALLE PC
Marriage and Family Therapists at 75 Ave, Phoenix, AZ

License number
Arizona 35764
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. ENRIQUE S LOPEZ MD
Title: OWNER
Phone: (623) 873-1200
Address
Address
2929 N 75Th Ave SUITE 5, Phoenix, AZ 85033
National Provider ID: 1205160355
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CENTRO MEDICO DEL VALLE PC at bizstanding.com

CENTRO MEDICO DEL VALLE, PC

2929 N 75 Ave #5 & #6, Phoenix, AZ 85033

Status:
Inactive
Inactive reason:
Delinquent annual report
Registration:
Sep 15, 2009
Inactive since:
Jun 10, 2014
State ID:
-1552113-1
Expiration:
PERPETUAL
Directors:
Enrique Lopez (President/ceo), 2929 N 75 Ave #5, Phoenix, AZ 85033 (Physical),Enrique S Lopez M D (Director), Director 2929 N 75 Ave #5, Phoenix, AZ 85033 (Physical)
Agent:
Elba Nunez,2929 N 75 Ave SUITE #5, Phoenix, AZ 85033 (Physical)
Business type:
HEALTH CARE

Marriage and Family Therapists licenses in Arizona










Other Doctors licenses in Arizona