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SOUTHWEST CONTEMPORARY WOMEN'S CARE PC NPI 1396746624


NPI Information

NPI: 1396746624
Provider Name: SOUTHWEST CONTEMPORARY WOMEN'S CARE, PC

Former Legal Business Name: SOUTHWEST WOMEN'S CARE, PC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 03D1002030

Address:
2545 W FRYE RD
SUITE 9
CHANDLER, AZ
ZIP 85224
Phone: (480) 505-4258
Get Directions

SOUTHWEST CONTEMPORARY WOMEN'S CARE, PC is an obstetrics gynecology in Chandler, 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. SOUTHWEST CONTEMPORARY WOMEN'S CARE, PC NPI is 1396746624. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Southwest Women's Care, Pc.

The provider's business location address is:

2545 W FRYE RD
SUITE 9
CHANDLER, AZ
ZIP 85224-273
Phone: (480) 505-4258
Fax: (480) 275-8346

The provider's authorized official is Christie Banda .
The authorized official title is Credentialing and has the following contact phone number (480) 505-4258.

The CLIA number assigned to this NPI record is 03D1002030 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/9/2005 and was last updated on 11/18/2014.


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 & GynecologyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1236921MEDICAIDARIZONA
2ZWMBFRMEDICARE PINARIZONA

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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