# BARRY M LITTLEJOHN M.D. S.C.

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

## Provider details

- **NPI number:** 1912175100
- **Authorized official:** DR. BARRY MEADE LITTLEJOHN M.D. (OWNER)
- **Authorized official phone:** (623) 566-2004

## Contact information

- **Practice address:** 6525 W SACK DR, SUITE 208, GLENDALE, AZ 85308-7104
- **Practice address phone:** (623) 566-2004
- **Mailing address:** 6525 W SACK DR, SUITE 208, GLENDALE, AZ 85308-7104
- **Mailing address phone:** (623) 566-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 37577 | AZ | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 02/11/2008