I would not recommend this office in the West Valley , I work in the healthcare field and understand what it is to wait to be seen but to have to come in 45 minutes early to check in and still wait 15 minutes after your scheduled appointment and every patient that comes in after you is taken back is very unprofessional. I was seen for an annual exam by a nurse practitioner and I asked questions pertaining to my health and concerns as any woman would do at a doctor visit, I do not have insurance and was told at checkout that part of my visit charge was because I asked questions during my exam.. Well yah!.. isn't that why you go to the doctor? After all was done and I expressed my concerns to the office manager on these ridiculous charges she then read the clinical notes in my file that did not even match what was discussed in the room during my exam. My advice- Make sure you look closely at the charges being billed to your insurance by this office and Don't ask additional questions or they will charge you or your insurance on some bogus procedure codes. I was told by the office manager I would receive a call to discuss the inaccurate notes placed in my file after she spoke to the provider/ NP but I have yet to get a call