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Organization
OBSTETRIX MEDICAL GROUP OF PHOENIX PC
Active
Organization
OBSTETRIX MEDICAL GROUP OF PHOENIX PC
Active
Other names
Phoenix Perinatal Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-3000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2084A2900X
Neurocritical Care Physician
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471136
—
AZ
Enumeration date
09/26/2006
Last updated
10/02/2025
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