BETHANY WOMENS HEALTHCARE NPI 1104863588

NPI Information

BETHANY WOMENS HEALTHCARE is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BETHANY WOMENS HEALTHCARE NPI is 1104863588. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3660 W BETHANY HOME RD
STE A
PHOENIX, AZ
ZIP 85019-953
Phone: (602) 973-3200
Fax: (602) 973-0508

The provider's authorized official is Alan A Schapker .
The authorized official title is President/owner and has the following contact phone number (602) 973-3200.

The CLIA number assigned to this NPI record is 03D0874922 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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