Organization
SOUTHEAST VALLEY OBSTETRICS & GYNECOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY E SEMRAD D.O. (PRESIDENT)
(480) 464-2101
Entity
Organization
Contact information
Practice address
4566 E INVERNESS AVE, SUITE 202, MESA, AZ 85206-4633
(480) 464-2101
(480) 854-4913
Mailing address
4566 E INVERNESS AVE, SUITE 202, MESA, AZ 85206-4633
(480) 464-2101
(480) 854-4913
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75322
MEDICARE
AZ
Enumeration date
09/16/2006
Last updated
02/03/2015
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