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DESERT ROSE OBGYN PC NPI 1396959359


NPI Information

NPI: 1396959359
Provider Name: DESERT ROSE OBGYN PC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

CLIA Number: 03D0724914

Address:
6242 E ARBOR AVE
STE 107
MESA, AZ
ZIP 85206
Phone: (480) 897-8000
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DESERT ROSE OBGYN PC is an obstetrics obstetrics gynecology in Mesa, AZ. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DESERT ROSE OBGYN PC NPI is 1396959359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6242 E ARBOR AVE
STE 107
MESA, AZ
ZIP 85206-309
Phone: (480) 897-8000
Fax: (480) 830-3690

The provider's authorized official is Terry A Huff .
The authorized official title is President and has the following contact phone number (480) 897-8000.

The CLIA number assigned to this NPI record is 03D0724914 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.


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
1207VX0000XObstetrics & GynecologyObstetrics20570ARIZONAYes

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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