# THE MILK SPOT, LLC

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

## Provider details

- **NPI number:** 1295278562
- **Authorized official:** DR. NICHELLE WHITEHEAD M.D. (MANAGER)
- **Authorized official phone:** (602) 529-5159

## Contact information

- **Practice address:** 2922 N 18TH PL, PHOENIX, AZ 85016-7705
- **Practice address phone:** (602) 529-5159
- **Practice address fax:** (602) 265-6644
- **Mailing address:** 2922 N 18TH PL, PHOENIX, AZ 85016-7705
- **Mailing address phone:** (602) 529-5159
- **Mailing address fax:** (602) 265-6644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | AZ25151 | AZ | Yes |

## Other

- **Enumeration date:** 11/18/2016
- **Last updated:** 11/18/2016