SUN VALLEY SURGICAL PHYSICIAN ASSISTANT, LLC
NPI 1669855193
Physician Assistant - Surgical in Peoria, AZ

Active since July 01, 2015
9031 W RUNION DR, PEORIA, AZ 85382(623) 810-7539 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sun Valley Surgical Physician Assistant, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUN VALLEY SURGICAL PHYSICIAN ASSISTANT, LLC (NPI 1669855193) is a healthcare organization registered as a surgical in Peoria, Arizona and active in the NPI registry since July 2015. The organization lists Jennifer Speer, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1669855193
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSUN VALLEY SURGICAL PHYSICIAN ASSISTANT, LLC
Location Address9031 W RUNION DRPeoria, AZ 85382-6472
Mailing Address9031 W Runion DrPeoria, AZ 85382-6472 · (623) 810-7539
Organization SubpartNo
Authorized OfficialJennifer SpeerPhysician Assistant · (623) 810-7539
Enumeration DateJuly 1, 2015
NPI 1669855193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 3332
9031 W RUNION DR, Peoria, AZ 85382

Other Identifiers 1

Medicare UPINQ24308

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sun Valley Surgical Physician Assistant, LLC's NPI number?

The NPI number for Sun Valley Surgical Physician Assistant, LLC is 1669855193. It was assigned to this organization in the NPPES registry on July 1, 2015.

Where is Sun Valley Surgical Physician Assistant, LLC located?

Sun Valley Surgical Physician Assistant, LLC is located at 9031 W Runion Dr, Peoria, AZ 85382. The listed phone number is (623) 810-7539.

What is Sun Valley Surgical Physician Assistant, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Sun Valley Surgical Physician Assistant, LLC was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.