Organization
GWENDOLYN LEE HALL CNM INC
Active
Organization
GWENDOLYN LEE HALL CNM INC
Active
Other names
Snowflake Heber Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. 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) 536-5377
Mailing address
PO BOX 617, 2947 HWY 260, OVERGAARD, AZ 85933-0617
(928) 535-4539
(928) 535-4895
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP0244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490467
—
AZ
Enumeration date
03/12/2007
Last updated
07/24/2008
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