Organization
PERINATAL & WOMEN'S CENTER
Active
Other names
PWC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A. NYBERG M.D. (MEDICAL DIRECTOR)
(480) 491-1600
Entity
Organization
Contact information
Practice address
1837 W GUADALUPE RD SUITE 114, MESA, AZ 85202-7442
(480) 491-1600
Mailing address
1837 W GUADALUPE RD SUITE 114, MESA, AZ 85202-7442
(480) 491-1600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29769
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29769
AZ PHYSICIAN LICENSE
AZ
Enumeration date
06/27/2006
Last updated
03/07/2023
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