Organization
MESA OBSTETRICIANS & GYNECOLOGISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO MORALES GOMEZ (PRESIDENT)
(602) 369-5446
Entity
Organization
Contact information
Practice address
801 S POWER RD STE 108, MESA, AZ 85206-5222
(602) 816-5544
(602) 626-8681
Mailing address
PO BOX 1377, HIGLEY, AZ 85236-1377
(602) 816-5544
(602) 626-8681
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F00471
PHX HEALTH PLAN
AZ
01
—
ZWCHVZ
PTAN
AZ
Enumeration date
02/14/2007
Last updated
12/17/2025
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