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Organization

OBSTETRIX MEDICAL GROUP OF PHOENIX PC

Active
Other names
Phoenix Perinatal Associates
Organization subpart
No

Provider details

NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization

Contact information

Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-3000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2080P0203X
Pediatric Critical Care Medicine Physician
2084A2900X
Neurocritical Care Physician
363LN0000X
Neonatal Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
471136
AZ
Enumeration date
09/26/2006
Last updated
10/02/2025
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