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WOMENS HEALTH PALACE PLLC NPI 1003313362


NPI Information

NPI: 1003313362
Provider Name: WOMENS HEALTH PALACE PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1491 N ARIZONA BLVD STE 110
COOLIDGE, AZ
ZIP 85128
Phone: (480) 250-3694
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WOMENS HEALTH PALACE PLLC is an obstetrics gynecology in Coolidge, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WOMENS HEALTH PALACE PLLC NPI is 1003313362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1491 N ARIZONA BLVD STE 110
COOLIDGE, AZ
ZIP 85128-261
Phone: (480) 250-3694

The provider's authorized official is Vidalia M Butler-poku .
The authorized official title is Member Owner and has the following contact phone number (480) 250-3694.

The enumeration date for this NPI number is 4/12/2018 and was last updated on 1/23/2019.


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
1207V00000XObstetrics & Gynecology33705ARIZONAYes

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: 4/28/2024

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