Organization
CANYON MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY ARIAS (OFFICE MANAGER)
(623) 824-3660
Entity
Organization
Contact information
Practice address
6610 W CORDIA LN, PHOENIX, AZ 85083-7404
(623) 888-9033
(623) 572-9405
Mailing address
6610 W CORDIA LN, PHOENIX, AZ 85083-7404
(623) 888-9033
(623) 572-9405
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
261QB0400X
Birthing Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578670121
—
AZ
Enumeration date
11/19/2019
Last updated
12/03/2019
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