Organization
SOUTHWESTERN ARIZONA NEONATOLOGY PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ROBERT WARDA M.D. (NEONATOLOGY MEDICAL DIRECTOR,SWAN)
(928) 336-7665
Entity
Organization
Contact information
Practice address
2400 S AVENUE A, NICU, YUMA, AZ 85364-7127
(928) 336-7665
(928) 336-1559
Mailing address
PO BOX 50, YUMA, AZ 85366-0050
(928) 783-7283
(928) 783-4257
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
27466
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
33879
CO
2080N0001X
Neonatal-Perinatal Medicine Physician
C50724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330211
AHCCS APIPA
AZ
01
—
AZ078006
BLUE CROSS BLUE SHEILD
AZ
Enumeration date
07/16/2006
Last updated
05/20/2008
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