# SOUTHWESTERN OBSTETRICS AND GYNECOLOGY, INC.

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

## Provider details

- **NPI number:** 1578555330
- **Authorized official:** MS. TERESA DIENER (OFFICE MANAGER)
- **Authorized official phone:** (614) 875-0444

## Contact information

- **Practice address:** 4461 S. BROADWAY, SUITE 200, GROVE CITY, OH 43123-3990
- **Practice address phone:** (614) 875-0444
- **Practice address fax:** (614) 875-1193
- **Mailing address:** 4461 S. BROADWAY, SUITE 200, GROVE CITY, OH 43123-3990
- **Mailing address phone:** (614) 875-0444
- **Mailing address fax:** (614) 875-1193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 07/12/2007