# BELLA SIERRA WOMENS CENTER PLLC

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

## Provider details

- **NPI number:** 1104184522
- **Authorized official:** PETER G VAN OOSTEN M.D. (OWNER)
- **Authorized official phone:** (520) 459-1914

## Contact information

- **Practice address:** 3410 CANYON DE FLORES STE C, SIERRA VISTA, AZ 85650-5373
- **Practice address phone:** (520) 459-1914
- **Practice address fax:** (520) 459-7130
- **Mailing address:** 3410 CANYON DE FLORES, \#C, SIERRA VISTA, AZ 85650-5372
- **Mailing address phone:** (520) 459-1914
- **Mailing address fax:** (520) 459-7130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 36571 | AZ | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 11/13/2012