Organization
WOMENS HEALTH PALACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDALIA M BUTLER-POKU MD (MEMBER OWNER)
(480) 250-3694
Entity
Organization
Contact information
Practice address
1491 N ARIZONA BLVD STE 110, COOLIDGE, AZ 85128-3261
(480) 250-3694
Mailing address
3924 E ANDRE AVE, GILBERT, AZ 85298-9161
(480) 250-3694
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33705
AZ
Other
Enumeration date
04/12/2018
Last updated
01/23/2019
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