# DESERT PRAIRIE GYNECOLOGY AND OBSTETRICS PC

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

## Provider details

- **NPI number:** 1841330172
- **Authorized official:** MICHAEL W PEARSON MD (PRESIDENT)
- **Authorized official phone:** (928) 289-3396

## Contact information

- **Practice address:** 1500 N WILLIAMSON AVE, WINSLOW, AZ 86047-2736
- **Practice address phone:** (928) 289-3396
- **Mailing address:** PO BOX 27, WINSLOW, AZ 86047-0027
- **Mailing address phone:** (928) 289-2647
- **Mailing address fax:** (928) 289-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 13986 | AZ | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020