Organization
CONTEMPORARY CARE FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE L GOETZ (ADMINISTRATOR)
(480) 820-6657
Entity
Organization
Contact information
Practice address
6301 S MCCLINTOCK DR, SUITE 215, TEMPE, AZ 85283-3392
(480) 820-6657
Mailing address
2550 E GUADALUPE RD, SUITE 109, GILBERT, AZ 85234-5114
(480) 820-6657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63953
MEDICARE GROUP ID
AZ
Enumeration date
05/31/2007
Last updated
07/21/2022
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