MI DOCTORA NPI 1851707293

NPI Information

MI DOCTORA is an obstetrics gynecology in Mesa, 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. MI DOCTORA NPI is 1851707293. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1142 E SOUTHERN AVE STE C101
MESA, AZ
ZIP 85204-055
Phone: (480) 782-7380
Fax: (480) 821-3610

The provider's authorized official is Heather Harner .
The authorized official title is Credentialing and has the following contact phone number (480) 821-3610.

The CLIA number assigned to this NPI record is 03D2043035 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/7/2014 and was last updated on 7/7/2014.

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:

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