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WOMEN OF EXCELLENCE HEALTHCARE PLLC NPI 1548575012


NPI Information

NPI: 1548575012
Provider Name: WOMEN OF EXCELLENCE HEALTHCARE, PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 03D2013103

Address:
270 E HUNT HWY
STE 10
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (480) 987-5500
Get Directions

WOMEN OF EXCELLENCE HEALTHCARE, PLLC is an obstetrics gynecology in San Tan Valley, 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. WOMEN OF EXCELLENCE HEALTHCARE, PLLC NPI is 1548575012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

270 E HUNT HWY
STE 10
SAN TAN VALLEY, AZ
ZIP 85143-962
Phone: (480) 987-5500
Fax: (480) 987-5507

The provider's authorized official is Vidalia Butler-poku .
The authorized official title is Owner and has the following contact phone number (480) 987-5500.

The CLIA number assigned to this NPI record is 03D2013103 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 11/27/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1941494MEDICAIDARIZONA

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: 5/5/2024

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