# WEST PARK MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033201140
- **Authorized official:** KARLA ROWLETTE (GENERAL MANAGER)
- **Authorized official phone:** (623) 849-1869

## Contact information

- **Practice address:** 4136 N 75TH AVE, SUITE 116, PHOENIX, AZ 85033-3171
- **Practice address phone:** (623) 849-1869
- **Practice address fax:** (623) 849-5880
- **Mailing address:** 4136 N 75TH AVE \#116, PHOENIX, AZ 85033-3100
- **Mailing address phone:** (623) 849-1869
- **Mailing address fax:** (623) 849-5880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 02/01/2008
