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Organization
UNIVERSITY OB-GYN, LLC
Active
Organization
UNIVERSITY OB-GYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A. JOHNSON RN, BSN, MSN, NP (WOMENS HEALTH NURSE PRACTITIONER)
(928) 537-9844
Entity
Organization
Contact information
Practice address
5171 CUB LAKE RD, BLDG B #210, SHOW LOW, AZ 85901
(928) 537-9844
(928) 537-4437
Mailing address
5171 CUB LAKE RD, BLDG B #210, SHOW LOW, AZ 85901
(928) 537-9844
(928) 537-4437
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
JOHI-0433-8485
AZ
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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