Organization
PLANNED PARENTHOOD
Active
Other names
MARYVALE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA PULLEN (INTERIM CEO/PRESIDENT)
(480) 292-0023
Entity
Organization
Contact information
Practice address
2020 N 75TH AVE STE 11, PHOENIX, AZ 85035-3200
(623) 272-6691
(623) 209-9843
Mailing address
4751 N 15TH ST, PHOENIX, AZ 85014-3707
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
OTC4308
AZ
Other
Enumeration date
11/20/2008
Last updated
05/05/2021
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