# MATERNAL FETAL MEDICINE AND GENETICS PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003273822
- **Authorized official:** DR. SUSAN PONKEY M.D. (PHYSICIAN)
- **Authorized official phone:** (480) 773-7903

## Contact information

- **Practice address:** 1772 E. BOSTON STREET, SUITE 107, GILBERT, AZ 85295-6243
- **Practice address phone:** (480) 773-7903
- **Practice address fax:** (480) 773-6512
- **Mailing address:** 7380 E ALTA SIERRA DR, SCOTTSDALE, AZ 85266-1885
- **Mailing address phone:** (480) 773-7903
- **Mailing address fax:** (480) 773-6512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 04/23/2017