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PHOENIX OBSTETRICS & GYNECOLOGY NPI 1972372779


NPI Information

NPI: 1972372779
Provider Name: PHOENIX OBSTETRICS & GYNECOLOGY
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 03D0957432

Address:
3650 W BETHANY HOME RD
PHOENIX, AZ
ZIP 85019
Phone: (602) 841-0707
Get Directions

PHOENIX OBSTETRICS & GYNECOLOGY is an obstetrics gynecology in Phoenix, 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. PHOENIX OBSTETRICS & GYNECOLOGY NPI is 1972372779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3650 W BETHANY HOME RD
PHOENIX, AZ
ZIP 85019-967
Phone: (602) 841-0707
Fax: (602) 841-0708

The provider's authorized official is Kimberly A. Diana-brooks .
The authorized official title is Owner and has the following contact phone number (602) 841-0707.

The CLIA number assigned to this NPI record is 03D0957432 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/21/2023 and was last updated on 12/21/2023.


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

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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