MARICOPA OBGYN 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. MARICOPA OBGYN NPI is 1710198783. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1661 E CAMELBACK RD
SUITE 160
PHOENIX, AZ
ZIP 85016-911
Phone: (602) 241-1674
Fax: (602) 230-7982
The provider's authorized official is Tracianne Johnson .
The authorized official title is Hipaa Officer and has the following contact phone number (623) 551-0192.
The CLIA number assigned to this NPI record is 03D0863720 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/24/2007 and was last updated on 8/22/2020.