Organization
GWENDOLYN LEE HALL, CNM
Active
Organization
GWENDOLYN LEE HALL, CNM
Active
Other names
Snowflake/Heber Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN LEE HALL CNM (PRESIDENT)
(928) 535-4539
Entity
Organization
Contact information
Practice address
261 S MAIN ST, SNOWFLAKE, AZ 85937-5316
(928) 536-5377
(928) 536-7656
Mailing address
PO BOX 617, OVERGAARD, AZ 85933-0617
(928) 535-4539
(928) 535-4895
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
APO244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490467
—
AZ
Enumeration date
02/22/2008
Last updated
02/22/2008
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