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BOOJUM OBSTETRICS AND GYNECOLOGY NPI 1912225806


NPI Information

NPI: 1912225806
Provider Name: BOOJUM OBSTETRICS AND GYNECOLOGY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 03D0956496

Address:
3367 S MERCY RD STE 207
GILBERT, AZ
ZIP 85297
Phone: (480) 855-5900
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BOOJUM OBSTETRICS AND GYNECOLOGY is a specialist in Gilbert, 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. BOOJUM OBSTETRICS AND GYNECOLOGY NPI is 1912225806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3367 S MERCY RD STE 207
GILBERT, AZ
ZIP 85297-604
Phone: (480) 855-5900
Fax: (480) 855-9171

The provider's authorized official is Phillip G Garza .
The authorized official title is President and has the following contact phone number (480) 855-5900.

The CLIA number assigned to this NPI record is 03D0956496 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/17/2010 and was last updated on 7/14/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistAZ12769ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.