# PLANNED PARENTHOOD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARYVALE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003061862
- **Authorized official:** SAMANTHA PULLEN (INTERIM CEO/PRESIDENT)
- **Authorized official phone:** (480) 292-0023

## Contact information

- **Practice address:** 2020 N 75TH AVE STE 11, PHOENIX, AZ 85035-3200
- **Practice address phone:** (623) 272-6691
- **Practice address fax:** (623) 209-9843
- **Mailing address:** 4751 N 15TH ST, PHOENIX, AZ 85014-3707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | OTC4308 | AZ | Yes |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 05/05/2021