# UNIVERSITY OB-GYN, LLC

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

## Provider details

- **NPI number:** 1740432590
- **Authorized official:** KIMBERLY A. JOHNSON RN, BSN, MSN, NP (WOMENS HEALTH NURSE PRACTITIONER)
- **Authorized official phone:** (928) 537-9844

## Contact information

- **Practice address:** 5171 CUB LAKE RD, BLDG B \#210, SHOW LOW, AZ 85901
- **Practice address phone:** (928) 537-9844
- **Practice address fax:** (928) 537-4437
- **Mailing address:** 5171 CUB LAKE RD, BLDG B \#210, SHOW LOW, AZ 85901
- **Mailing address phone:** (928) 537-9844
- **Mailing address fax:** (928) 537-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | JOHI-0433-8485 | AZ | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 10/10/2008