Organization
GONDRA CENTER FOR IVF LABORATORIES
Active
Parent organization
GONDRA CENTER FOR REPRODUCTIVE CARE & ADVANCED GYNECOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
GONDRA CENTER FOR REPRODUCTIVE CARE & ADVANCED GYNECOLOGY
Authorized official
DR. MARIA M GONDRA M.D. (DOCTOR)
(480) 240-8815
Entity
Organization
Contact information
Practice address
20940 N TATUM BLVD, STE B210, PHOENIX, AZ 85050-4265
(480) 621-6203
(480) 621-6331
Mailing address
20940 N TATUM BLVD, STE B210, PHOENIX, AZ 85050-4265
(480) 621-6203
(480) 621-6331
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
44933
AZ
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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