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Organization
OBSTETRIX MEDICAL GROUP OF ARIZONA, P.C.
Active
Organization
OBSTETRIX MEDICAL GROUP OF ARIZONA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH S. MEREDITH MD (DIRECTOR / PRESIDENT)
(602) 256-4628
Entity
Organization
Contact information
Practice address
5301 E GRANT RD STE 150, TUCSON, AZ 85712-2805
(520) 795-8188
(520) 325-0809
Mailing address
4722 N 24TH ST, STE. 150, PHOENIX, AZ 85016-4800
(602) 256-4628
(855) 851-4319
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434647
—
AZ
Enumeration date
07/26/2006
Last updated
03/01/2016
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