# FIRST IMAGE PRENATAL CLINIC

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

## Provider details

- **NPI number:** 1215430269
- **Authorized official:** CHRISTINE REYES (COO)
- **Authorized official phone:** (602) 508-3340

## Contact information

- **Practice address:** 10555 N 58TH DR, GLENDALE, AZ 85302-1360
- **Practice address phone:** (480) 242-3057
- **Mailing address:** 10555 N 58TH DR, GLENDALE, AZ 85302-1360
- **Mailing address phone:** (602) 508-3340
- **Mailing address fax:** (602) 381-6351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2018
- **Last updated:** 03/17/2018