# OBSTETRIX MEDICAL GROUP OF ARIZONA, P.C.

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

## Provider details

- **NPI number:** 1316961022
- **Authorized official:** KEITH S. MEREDITH MD (DIRECTOR / PRESIDENT)
- **Authorized official phone:** (602) 256-4628

## Contact information

- **Practice address:** 5301 E GRANT RD STE 150, TUCSON, AZ 85712-2805
- **Practice address phone:** (520) 795-8188
- **Practice address fax:** (520) 325-0809
- **Mailing address:** 4722 N 24TH ST, STE. 150, PHOENIX, AZ 85016-4800
- **Mailing address phone:** (602) 256-4628
- **Mailing address fax:** (855) 851-4319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 03/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 434647 | — | AZ |